首页|温和灸联合握球训练对PICC置管结肠癌患者舒适度、凝血功能和置管相关静脉血栓发生率的影响

温和灸联合握球训练对PICC置管结肠癌患者舒适度、凝血功能和置管相关静脉血栓发生率的影响

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目的:探究温和灸联合握球训练对PICC置管结肠癌患者舒适度、凝血功能和置管相关静脉血栓发生率的影响.方法:选取我院2021年1月—2024年1月收治的进行PICC置管的结肠癌患者80例,采用随机信封法分为A组(单一握球训练,n=40例)和B组(在A组的基础上行温和灸,n=40例).比较两组干预前后的中医证候积分、舒适度[线性标尺视觉模拟法(VAS)]、生活质量[健康调查简表(SF-36)]、凝血功能[血小板计数(PLT)、凝血酶原时间(PT)、血浆纤维蛋白原(FIB)、D-二聚体(D-D)]、血液流变学指标[高切全血黏度(HBV)、低切全血黏度(LBV)、血浆粘度(PV)、红细胞积压(HCT)]和置管相关静脉血栓发生率.结果:干预前,两组的中医证候积分、VAS、SF-36评分及PLT、PT、FIB、D-D、HBV、LBV、PV、HCT水平比较无明显差异;干预后,两组的VAS、SF-36评分及PT、HBV、LBV、PV、HCT水平均升高,且B组均高于A组,两组的中医证候积分、PLT、FIB、D-D均降低,且B组均低于A组;A组置管相关静脉血栓发生率为17.50%,高于B组的2.50%.结论:将温和灸联合握球训练应用于PICC置管结肠癌患者,可以有效提高患者的舒适度和生活质量,还能改善凝血功能和血液流变性,降低置管相关静脉血栓发生率,值得临床推广应用.
Influence of mild moxibustion combined with ball holding training on comfort,coagulation function and incidence rate of catheter-related venous thrombosis in patients receiving PICC catheterization for colon cancer
Objective:To explore the influence of mild moxibustion combined with ball holding training on comfort,co-agulation function and incidence rate of catheter-related venous thrombosis in colon cancer patients with PICC catheteriza-tion.Methods 80 patients with colon cancer who received PICC catheterization in the hospital were selected from January 2021 to January 2024,and they were divided into group A(single ball holding training,n=40)and group B(mild moxibustion on the basis of group A,n=40)by adopting random envelope method.The TCM syndromes scores,comfort[Visual Analogue Scale(VAS)],quality of life[36-item Short-Form Health Survey Scale(SF-36)],coagulation function[platelet count(PLT),prothrombin time(PT),plasma fibrinogen(FIB),D-dimer(D-D)],hemorheological indexes[high shear whole blood viscos-ity(HBV),low shear whole blood viscosity(LBV),plasma viscosity(PV),hematocrit(HCT)]and incidence rate of catheter-related venous thrombosis were compared between groups before and after intervention.Results Before intervention,there were no significant differences in scores of TCM syndromes,VAS score,SF-36 score,PLT,PT,FIB,D-D,HBV,LBV,PV and HCT between the two groups.After intervention,the scores of VAS and SF-36 and levels of PT,HBV,LBV,PV and HCT were in-creased in both groups,and the scores and levels in group B were higher than those in group A.The scores of TCM syndromes and levels of PLT,FIB and D-D in the two groups were decreased,and the scores and levels were lower in group B than those in group A.The incidence rate of catheter-related venous thrombosis in group A was 17.50%,which was higher than 2.50%in group B.Conclusion The application of mild moxibustion combined with ball holding training for colon cancer patients with PICC catheterization can effectively enhance the comfort and quality of life,improve the coagulation function and hemorheology,and reduce the incidence rate of catheter-related venous thrombosis.

mild moxibustionball holding trainingperipherally inserted central cathetercolon cancercomfort

张秘、张大华、张杰、何清、梅雨薇

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北京中医药大学第三附属医院 针灸微创肿瘤科,北京 100029

北京中医药大学第三附属医院 护理部,北京 100029

温和灸 握球训练 外周静脉置入中心静脉导管 结肠癌 舒适度

2024

湖南师范大学学报(医学版)
湖南师范大学

湖南师范大学学报(医学版)

CSTPCD
影响因子:1.389
ISSN:1673-016X
年,卷(期):2024.21(5)