Effects of perioperative rehabilitation for patients with self-forearm internal arteriovenous fistula
10.3760/cma.j.issn.1672-7088.2015.15.012
- VernacularTitle:前臂自体动静脉内瘘术围手术期功能锻炼的效果分析
- Author:
Maohua CHENG
;
Yu ZHANG
;
Sufen YAN
;
Ni HU
- Publication Type:Journal Article
- Keywords:
Internal arteriovenous fistula;
Perioperative period;
Rehabilitation
- From:
Chinese Journal of Practical Nursing
2015;31(15):1138-1140
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of perioperative rehabilitation for patients with self-forearm internal arteriovenous fistula.Methods Divided 124 patients with end-stage renal disease into the functional training group (65 cases,A group)and the control group(59 cases,B group) randomly,and then compared certain related indexes between the two groups.Results In the A group,the artery diametcr was obvious widen before functional training without operation,and the vein diameter was obvious widen before functional training without operation too,P ＜ 0.05.After operation,the A group Anastomotic unobstructed was obviously better than B group in one-stage,P ＜ 0.05.A group with thrombosis cases significantly less postoperative than B group,P ＜ 0.05.A group with edema of hands was significantly shorter than B group,P ＜ 0.01.Postoperative fistula time to maturity in the A group was (43.76 ± 2.21) days,which was significantly shorter than that of in the B group,(49.69 ± 5.85) days,P ＜ 0.01.Conclusion Systematic strengthening of perioperative functional exercises can significantly improve preoperative vascular conditions,improve the success rate of operation,reduce risk of thrombosis cases,shorten the time of hand edema and the time of fistula in mature.
