中国中西医结合杂志2017，Vol.37Issue(6)：666-670,5.DOI:10.7661/j.cjim.20170426.076
中药熏蒸配合功能锻炼促进糖尿病肾病患者自体动静脉内瘘成熟的疗效观察
Effect of Traditional Chinese Medicine Fumigation Combined with Functional Exercise on Native Arteriovenous Fistula Maturation in Patients with Diabetic Nephropathy
摘要
Abstract
Objective To observe the effect of traditional Chinese medicine fumigation combined with functional exercise on native arteriovenous fistula maturation in patients with diabetic nephropathy.Methods Totally 52 cases of patients with diabetic nephropathy established native artenovenous fistula on the wrist on CKD 4-5.The operations of arterio-venous fistula formation were done by one surgeon.52 patients were randomly assigned to the treatment group (26 cases) and control group (26 cases).1 weeks after operation,The control group began functional exercise,and the treatment group began functional exercise with treatment of traditional Chinese medicine fumigation.2 weeks after the operation,blood flow and the diameter of radial artery and cephalic vein were measured by Doppler ultrasonography before and after single Chinese medicine fumigation in treatment group.Blood flow and the diameter of cephalic vein were measured by Doppler ultrasonography after the surgery for week 4,8 and 12 in two groups.The complication rate(including:anastomotic stenosis,induration,hematoma and thrombosis)and patency rate of the fistula were observed within 6 months.Results In the treatment group,after single treatment of traditional Chinese medicine fumigation,blood flow in radial artery and cephalic vein were increased,the diameter of radial artery and cephalic vein were widened (P ＜0.01).Compared with control group,blood flow and diameter of cephalic vein,and fistula maturation rate in the treatment group were higher at week 4,8 and 12(P ＜0.05).And at week 8,blood flow and diameter of cephalic vein were higher than those at week 4 in the treatment group (P ＜0.05).In the control group,blood flow and diameter of cephalic vein were increased gradually at week 4,8 and 12 (P ＜0.05).The incidence of complications (including:anastomotic stenosis,induration and hematoma) in the treatment group was Iower(P ＜0.05),and the fistula patency rate was higher,but there was no significant difference between the 2 groups (P ＞0.05).Conclusion Traditional Chinese medicine fumigation combined with functional exercise can promote the the fistula maturation rate and reduce complications,and prolong the service life of the fistula.关键词
糖尿病肾病/自体动静脉内瘘/中药熏蒸/功能锻炼Key words
diabetic nephropathy/autogenous arteriovenous fistula/fumigation of Chinese herbal medicine/functional exercise引用本文复制引用
徐昇,张志忠,毛志远,吴静芳..中药熏蒸配合功能锻炼促进糖尿病肾病患者自体动静脉内瘘成熟的疗效观察[J].中国中西医结合杂志,2017,37(6):666-670,5.基金项目
钟坚名老中医专家传承工作室(No.GZS2012042) （No.GZS2012042）
