[1]马芸,栗琼洋,廖娟,等.中药热奄包对PICC术后机械性静脉炎的影响[J].西部中医药,2021,34(12):144-147.[doi:10.12174/j.issn.2096-9600.2021.12.39]
　MA YUN,LI Qiongyang,LIAO Juan,et al.Influence of TCM Hot Compress on Mechanical Phlebitis after the Operation of PICC[J].Western Journal of Traditional Chinese Medicine,2021,34(12):144-147.[doi:10.12174/j.issn.2096-9600.2021.12.39]
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中药热奄包对PICC术后机械性静脉炎的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年12期
页码:
144-147
栏目:
出版日期:
2021-12-15

文章信息/Info

Title:
Influence of TCM Hot Compress on Mechanical Phlebitis after the Operation of PICC
作者:
马芸1, 栗琼洋2, 廖娟1, 孙丽娟1, 刘春凤1, 安思1, 赵楠1
1.中国中医科学院西苑医院，北京 100091
2.首都医科大学附属北京中医医院
Author(s):
MA YUN1, LI Qiongyang2, LIAO Juan1, SUN Lijuan1, LIU Chunfeng1, AN Si1, ZHAO Nan1
1.Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
2.Beijing Hospital of TCM Affiliated to Capital Medical University
关键词:
静脉炎; 机械性; 经外周中心静脉置管术; 中药热奄包; 干预时间; 静脉炎
Keywords:
phlebitis;  mechanical; PICC; TCM hot compress; intervention time; phlebitis
分类号:
R248
DOI:
10.12174/j.issn.2096-9600.2021.12.39
文献标志码:
B
摘要:
目的探讨应用不同干预时间中药热奄包对经外周中心静脉置管（Peripherally inserted central catheter，PICC）术后机械性静脉炎的影响。 方法将100例PICC术后机械性静脉炎患者随机分为观察组和对照组，每组50例。两组均由PICC认证的专科护士进行置管操作，在PICC置管术后均被给予常规护理，观察组应用中药热奄包连续热敷3天，对照组应用热奄包连续热敷5天，比较两组患者机械性静脉炎的发生率，穿刺手臂出血、肿胀及疼痛的情况。 结果机械性静脉炎发生率观察组［2.08%（1/48）］与对照组［0.00%（0/50）］比较，差异无统计学意义（P＞0.05）。两组手臂疼痛程度、肿胀程度比较，差异无统计学差异（P＞0.05）。观察组较对照组穿刺处出血少（P＜0.05）。 结论PICC术后应用中药热奄包热敷3天即能有效预防机械性静脉炎，并可减轻穿刺引起的手臂疼痛、肿胀等早期不适症状，减少术后出血的风险。
Abstract:
ObjectiveTo explore the effects of TCM hot compress on mechanical phlebitis after PICC at different intervention time. MethodsAll 100 patients were randomly divided into the observation group and the control group, 50 cases in each group. The patients in the two groups accepted PICC by PICC-certified specialist nurses, and conventional care after PICC, The observation group was treated with TCM hot compress for three consecative days, and the control group with hot pack for five days consecutively. To compare the incidence of mechanical phlebitis, pain, swelling and bleeding of punctured arm between both groups. ResultsThe incidences of mechanical phlebitis of the observation group and the control group were 2.08% (1/48) and 0.00% (0/50), the difference had no statistical meaning (P>0.05). The difference had no statistical meaning in the comparisons of the scores of arm pain and swelling between both groups (P>0.05). bleeding at puncture site in the observation group was less than that of the control group (P<0.05). ConclusionApplying TCM hot compress for three days after PICC could effectively prevent mechanical phlebitis, relieve the discomforts at the early stage including the pain and swelling of punctured arm, and decrease the risk of postoperative hemorrhage.

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备注/Memo

备注/Memo:
马芸（1985—），女，主管护师。研究方向：肿瘤疾病的中医护理。北京中医药科技发展资金（JJ2016-54）。
更新日期/Last Update: 2021-12-15