首页|中医穴位敷贴联合针灸预防深静脉置管后血栓形成临床观察

中医穴位敷贴联合针灸预防深静脉置管后血栓形成临床观察

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目的:研究中医穴位敷贴联合针灸在预防深静脉置管后血栓形成的效果。方法:选取 2022 年 7 月至2023 年 6 月南宁市第二人民医院行深静脉置管的 60 例患者,随机数字表法分为两组,每组 30 例。置管后对照组患者给予常规护理治疗,观察组患者在对照组的基础上增加中医穴位敷贴联合针灸,比较两组患者凝血功能、疼痛程度、患肢肿胀发生情况以及深静脉超声结果。结果:置管后第 7 天,观察组患者血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)水平长于对照组,D-二聚体低于对照组,差异具有统计学意义(P<0。05);置管后第 7 天观察组疼痛程度患者低于对照组,差异具有统计学意义(P<0。05);置管后第 7 天,观察组患者患肢肿胀发生率低于对照组,差异具有统计学意义(P<0。05);置管后第 7 天,观察组患者深静脉血栓形成发生率低于对照组,差异具有统计学意义(P<0。05)。结论:在患者深静脉置管后予以中医穴位敷贴联合针灸,能够改善患者凝血功能,减轻肢体肿胀和疼痛程度,有效预防深静脉血栓形成的发生。
Clinical Observation of Traditional Chinese Medicine Acupoint Application Combined with Acupuncture in Preventing Thrombosis after Deep Vein Catheterization
Objective To study the effect of Traditional Chinese Medicine(TCM)acupoint application combined with acupuncture in preventing thrombosis after deep vein catheterization.Methods A total of 60 patients who underwent deep vein catheterization at Nanning Second People's Hospital from July 2022 to June 2023 were selected and randomly divided into two groups,with 30 cases in each group.Patients in the control group received routine nursing care after catheterization,while patients in the observation group were additionally treated with TCM acupoint application combined with acupuncture.Coagulation function,pain level,incidence of limb swelling,and deep vein ultrasound results were compared between the two groups.Results On the 7th day after catheterization,the prothrombin time(PT)and activated partial thromboplastin time(APTT)levels in the observation group were significantly longer than those in the control group,and the D-dimer level was lower,with statistically significant differences(P<0.05).The pain level in the observation group was significantly lower than that in the control group on the 7th day after catheterization(P<0.05).The incidence of limb swelling in the observation group was significantly lower than that in the control group on the 7th day after catheterization(P<0.05).The incidence of deep vein thrombosis in the observation group was significantly lower than that in the control group on the 7th day after catheterization(P<0.05).Conclusion The application of TCM acupoint application combined with acupuncture after deep vein catheterization can improve patients'coagulation function,reduce limb swelling and pain level,and effectively prevent the occurrence of deep vein thrombosis.

ThrombosisTraditional Chinese Medicine Acupoint ApplicationAcupunctureDeep Vein Catheterization

吕华、韦微光、陈思成

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南宁市第二人民医院五象医院,广西 南宁 530022

深静脉血栓形成 中医穴位敷贴 针灸 深静脉置管

广西壮族自治区中医药管理局科研课题

GXZYA20220357

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(5)
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