Effect of Jinhuang ointment combined with infrared radiation on maturity and prognosis of autogenous arteriovenous fistula in hemodialysis patients
金黄膏联合红外线照射对血液透析自体动静脉内瘘成熟及预后的影响

摘要

目的 探讨金黄膏联合红外线照射对血液透析自体动静脉内瘘成熟及预后的影响。方法 采用回顾性研究方法，选取2023年10月至2025年2月本院行自体AVF手术的维持性血透患者60例，按随机数字表法分为对照组（n=30）与观察组（n=30）。对照组术后接受肾内常规治疗与护理，观察组在此基础上外敷金黄膏并联合红外线照射干预。分别于术后1个月与3个月评估内瘘成熟度及血流动力学指标（头静脉壁厚度、血流量、动静脉管腔直径）。结果 术后1个月与3个月，观察组内瘘成熟率显著高于对照组（P<0.05）；3个月时观察组头静脉壁厚度减少、血流量提升、动静脉管腔直径更为理想，差异具统计学意义（P<0.05）。结论 金黄膏联合红外线照射能有效促进自体动静脉内瘘术后血管重建，加快瘘管成熟，优化血流动力学，有助于提高透析通路使用成功率与远期预后，值得临床推广应用。

Abstract

Objective To investigate the effect of Jinhuang ointment combined with infrared radiation on the maturity and prognosis of autogenous arteriovenous fistula in hemodialysis patients.
Methods 60 cases of maintenance hemodialysis patients who underwent autologous AVF surgery in our hospital from October 2023 to February 2025 were selected and randomly divided into control group (n=30) and observation group (n=30). The control group received routine treatment and nursing in the kidney after operation, while the observation group received external application of Jinhuang ointment combined with infrared radiation intervention on this basis. The fistula maturity and hemodynamic parameters (cephalic vein wall thickness, blood flow, arteriovenous lumen diameter) were evaluated at 1 month and 3 months after operation.
Results at 1 and 3 months after operation, the fistula maturity rate in the observation group was significantly higher than that in the control group (P<0.05); At 3 months, the thickness of cephalic vein wall decreased, blood flow increased, and the diameter of arteriovenous lumen was more ideal in the observation group, the difference was statistically significant (P<0.05).
Conclusion   Jinhuang ointment combined with infrared radiation can effectively promote the vascular reconstruction after autologous arteriovenous fistula surgery, accelerate fistula maturation, optimize hemodynamics, and help to improve the success rate of dialysis access and long-term prognosis, which is worthy of clinical application.