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目的:观察老年维持性血液透析患者内瘘肢体感染带状疱疹的中西医结合护理疗效。方法:40例老年维持性血液透析患者内瘘肢体感染带状疱疹者随机分为治疗组和对照组各20例,两组均给予心理护理和饮食护理,对照组的内瘘创面采用双氧水和生理盐水冲洗后,用安尔碘在血液透析治疗过程中湿敷,透析结束后用无菌纱布覆盖并用医用无弹力绷带包扎,治疗组的内瘘肢体创面为先采用安尔碘消毒,抽水疱,在血液透析过程中用复方黄柏液湿敷,透析结束后用无菌凡士林油纱覆盖水疱破溃处,涂抹阿昔洛韦软膏,再用无菌纱布和棉垫覆盖,外加医用弹力绷带包扎。结果:对照组20例痊愈6例,显效9例,有效3例,无效2例,有效率90%,治疗组20例痊愈13例,显效6例有效1例,无效0例,有效率为100%。两组有效率比较,差异有显著性(p<0.05)。结论:老年维持性血液透析患者内瘘肢体感染带状疱疹的中西医结合护理,疗效确切。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on shingles infected with fistula in elderly hemodialysis patients. Methods: Forty cases of shingles infected with internal fistula were randomly divided into treatment group (20 cases) and control group (20 cases). The two groups were given psychological care and dietary nursing. The fistula wounds of the control group were treated with hydrogen peroxide and physiology Saline was washed with Anellin in hemodialysis during wet dressing, after dialysis covered with sterile gauze and bandaged with medical non-elastic bandages, the treatment group of fistula limb wound first used Aner iodine disinfection, blister blisters, In the process of hemodialysis with compound cork liquid wet compress, after the end of dialysis with sterile vaseline gauze blister rupture, apply acyclovir ointment, and then covered with sterile gauze and cotton pad, plus medical elastic bandage. Results: In the control group, 20 cases recovered 6 cases, 9 cases were markedly effective, 3 cases were effective, 2 cases were ineffective, and the effective rate was 90%. In the treatment group, 20 cases recovered 13 cases, 6 cases markedly effective 1 case, 0 ineffective, effective rate 100 %. The two groups were compared, the difference was significant (p <0.05). Conclusion: Integrative traditional Chinese and Western medicine for the treatment of shingles infected with fistula in elderly hemodialysis patients is effective.