温和灸对胃肠道恶性肿瘤患者PICC相关性上肢静脉血栓预防的效果研究

发布时间：2018-07-25 19:59

【摘要】：目的探讨温和灸对胃肠道恶性肿瘤患者PICC相关性上肢静脉血栓预防的效果及对血液流变学指标的改善效果。方法采用随机数字法,将117例PICC置管的胃肠道恶性肿瘤患者分为2组,对照组57例,实验组60例。两组患者均给予PICC常规护理,实验组给予生理盐水封管并施以温和灸,对照组给予生理盐水封管,比较置管7 d时两组血栓的发生率、置管前1 d、置管7 d和15 d时血液流变学指标的变化。结果血栓发生率的比较:置管7 d时实验组的血栓发生率低于对照组,差异有统计学意义(P0.05)。血液流变学指标的比较:与对照组相比,实验组的全血粘度低切、高切,红细胞聚集指数,血浆粘度,红细胞压积在组间、时间、交互作用上与对照组相比,差异有统计学意义(P0.05)。结论温和灸能影响血液流变学,有效防止胃肠道恶性肿瘤患者PICC置管后血栓的形成。
[Abstract]:Objective to investigate the effect of mild moxibustion on the prevention of PICC associated upper limb venous thrombosis and the improvement of hemorheology in patients with gastrointestinal malignancy. Methods 117 patients with gastrointestinal cancer were divided into two groups: control group (n = 57), control group (n = 60) and control group (n = 60). The patients in both groups were given routine nursing care with PICC. The experimental group was given saline sealing and mild moxibustion, while the control group was given saline sealing. The incidence of thrombus was compared between the two groups at 7 days after catheterization. The changes of hemorheology indexes in the first day, 7 days and 15 days before placing the tube. Results the incidence of thrombus in the experimental group was lower than that in the control group at 7 days after catheterization (P0.05). Comparison of hemorheological indexes: compared with the control group, the whole blood viscosity of the experimental group was low shear, high shear, erythrocyte aggregation index, plasma viscosity, hematocrit, time, and interaction compared with the control group. The difference was statistically significant (P0.05). Conclusion mild moxibustion can affect hemorheology and prevent thrombosis after PICC catheterization in patients with gastrointestinal malignancy.
【作者单位】：上海市第七人民医院普外科;
【基金】：上海市卫生和计划生育委员会科研课题(201540152)
【分类号】：R248.9

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