目的：探讨如意金黄散外敷及喜疗妥涂抹治疗动静脉内瘘血肿的效果。方法将132例动静脉内瘘使用过程中发生皮下血肿的患者随机分为两组，其中对照组66例，发生血肿后常规按压，止血后冰袋冷敷血肿处，24 h后使用毛巾进行局部湿热敷，于热敷后在血肿局部涂抹喜疗妥软膏并轻轻按摩5~10 min，直至药膏全部经皮肤吸收，每日进行3~4次。研究组66例，血肿发生24 h后将如意金黄散用蜂蜜或清茶调匀成稀泥状外敷，每天更换2~3次。观察两组临床疗效。结果对血肿范围5~10 cm及>10 cm，研究组在血肿面积缩小等方面的疗效明显优于对照组，差异有统计学意义（P<0.05）；研究组在48 h、72 h疼痛程度分级与对照组比较，明显减轻（P<0.01）。结论如意金黄散外敷治疗动静脉内瘘使用过程中血肿引发的疼痛以及发生范围5~10 cm及>10 cm的皮下血肿消散、吸收的疗效显著，操作简便，值得推广。%Objective To compare the clinical efficacy between Ruyi golden powder with hiru doid for arteriovenous fis-tula hematoman. Methods A total of 132 cases with subcutaneous hematoma in arteriovenous fistula were divided into two groups randomly. 66 cases of control group was treated with conventional pressure, icepack being applied after hemostasis, local wet towels fomentation after 24 hours, then hirudoid cream topical smearing with massage for 5-10 minutes until creams being absorbed through the skin, with 3-4 times per day. 66 cases of study group were treated with Ruyi golden powder with tea or honey to mix thoroughly into the mud like for local application in 24h of hematoma formation, with 2-3 times per day. Clinical efficacy of two groups was compared. Results In range of 5-10 cm and range of >10 cm, hmatoma size reduction of study group was better than that in the control group (P<0.05);Pain levels of study group after 48 h and 72 h were more mild than that in the control group(P<0.01). Conclusion Clini-cal efficacy of pain relief,and range of 5-10 cm and >10 cm subcutaneous hematoma dissipated,absorption is signifi-cant,and easy to operate,worthy of clinical promotion.
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