Effect of Chinese Herbal Fomentation on Arteriovenous Fistula Maturation
| Autor: | YanQing Tong, ZhengPing Qu, Yue Jing |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Administration Topical Arteriovenous fistula Bacteremia Salvia miltiorrhiza Veins Arteriovenous Shunt Surgical Forearm Renal Dialysis Chinese traditional medicine Humans Medicine Chinese Traditional Vascular Patency Retrospective Studies Ultrasonography Wound Healing business.industry Ultrasound Thrombosis Retrospective cohort study Maintenance hemodialysis Middle Aged medicine.disease Surgery Hospitalization medicine.anatomical_structure Complementary and alternative medicine Radial Artery Access site Warm water Female business Drugs Chinese Herbal Phytotherapy |
| Zdroj: | The Journal of Alternative and Complementary Medicine. 17:749-753 |
| ISSN: | 1557-7708 1075-5535 |
| DOI: | 10.1089/acm.2010.0565 |
| Popis: | The study objectives were to examine the effects of Chinese herbal fomentation on radiocephalic arteriovenous fistula (AVF) maturation.All patients' preoperative evaluation, operative procedure, and follow-up information records were reviewed to identify patients undergoing radiocephalic AVF procedures for maintenance hemodialysis. All patients underwent preoperative vessel ultrasound. The ultrasound examinations were repeated every 2 months after the operative procedure. From the day after the operation, the forearm of the patient is fomented with a mixture of Dan Shen and Hong Hua in dry powdered form dissolved in fresh warm water. The fomentation lasted for 60 minutes, once a day for 28 consecutive days.Sixty-four (64) specific access site operations were yielded in 62 patients for analysis. Forty-nine (49; 76.6%) of the 64 fistulas were considered sonographically mature and 15 (23.4%) were deemed sonographically immature. The sonographically mature fistulas (n=46) that were suitable for puncture had blood flow of 655±132 mL/minute, and venous diameter of 4.5±0.3 mm. The most frequent complication was thrombosis before first use, which accounted for 6 AVFs failures to mature (0.16 per patient-year). There were two hospitalizations for fistula-related bacteremia in the group (0.05 per patient-year).The Chinese herbal fomentation reduced the frequency of early thrombosis of new AVFs and was accompanied by an increase in the proportion of AVFs that were suitable for dialysis. |
| Databáze: | OpenAIRE |
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