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Effect of Chinese Herbal Fomentation on Arteriovenous Fistula Maturation.
- Source :
-
Journal of Alternative & Complementary Medicine . Aug2011, Vol. 17 Issue 8, p749-753. 5p. - Publication Year :
- 2011
-
Abstract
- Objectives: The study objectives were to examine the effects of Chinese herbal fomentation on radiocephalic arteriovenous fistula (AVF) maturation. Methods: 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. Results: 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). Conclusions: 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ALTERNATIVE medicine
*ANALYSIS of variance
*SURGICAL arteriovenous shunts
*COMPUTER software
*CONFIDENCE intervals
*FOREARM
*HEMODIALYSIS
*MEDICINAL plants
*BOTANIC medicine
*CHINESE medicine
*HEALTH outcome assessment
*SURVIVAL analysis (Biometry)
*THROMBOSIS
*DATA analysis
*TREATMENT effectiveness
*RETROSPECTIVE studies
Subjects
Details
- Language :
- English
- ISSN :
- 10755535
- Volume :
- 17
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Journal of Alternative & Complementary Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 104662659
- Full Text :
- https://doi.org/10.1089/acm.2010.0565