[1]李红超,高洁,吴琼,等.针刺联合通窍活血汤对脑胶质瘤患者术后输液港并发症的预防作用[J].西部中医药,2024,37(03):112-115.[doi:10.12174/j.issn.2096-9600.2024.03.22]
　LI Hongchao,GAO Jie,WU Qiong,et al.The Effects of Acupuncture and Orifices-dredging Blood-activating Decoction (Tongqiao Huoxue Tang) on the Complications of Totally Implantable Venous Access Ports in Patients after the Surgery of Brain Glioma[J].Western Journal of Traditional Chinese Medicine,2024,37(03):112-115.[doi:10.12174/j.issn.2096-9600.2024.03.22]
点击复制

针刺联合通窍活血汤对脑胶质瘤患者术后输液港并发症的预防作用

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年03期
页码:
112-115
栏目:
临床研究
出版日期:
2024-03-15

文章信息/Info

Title:
The Effects of Acupuncture and Orifices-dredging Blood-activating Decoction (Tongqiao Huoxue Tang) on the Complications of Totally Implantable Venous Access Ports in Patients after the Surgery of Brain Glioma
作者:
李红超, 高洁, 吴琼, 张阳, 董倩, 刘唯唯
沧州市人民医院，河北 沧州 061000
Author(s):
LI Hongchao, GAO Jie, WU Qiong, ZHANG Yang, DONG Qian, LIU Weiwei
Cangzhou People's Hospital, Cangzhou 061000, China
关键词:
脑胶质瘤; 气虚血瘀证; 完全植入式输液港; 并发症; 针刺; 通窍活血汤; 护理
Keywords:
brain glioma; deficiency and blood stasis pattern; totally implantable access ports; the complications; acupuncture; nursing
分类号:
R245.31+1
DOI:
10.12174/j.issn.2096-9600.2024.03.22
文献标志码:
B
摘要:
目的观察针刺联合通窍活血汤对脑胶质瘤患者术后输液港并发症的预防作用。 方法将脑胶质瘤手术切除术后接受完全植入式输液港（totally implantable access ports，TIAP）的气虚血瘀证患者128例按随机数字表法分为对照组和观察组各64例。对照组术后第1天予常规护理干预；观察组在对照组基础上予中医针刺护理联合通窍活血汤干预。干预2周后观察两组患者TIAP并发症发生率、气虚血瘀证症状评分及护理满意度。 结果观察组TIAP并发症中感染、静脉内血栓、导管堵塞、纤维蛋白鞘的发生率低于对照组（P＜0.05）；干预后两组患者气虚血瘀证症状（气短、神疲乏力、懒言、自汗、刺痛、皮下瘀斑、肌肤甲错、肢体麻木）评分均降低（P＜0.01），观察组低于对照组（P＜0.01）；观察组护理满意度为93.75%（60/64），高于对照组的79.69%（51/64）（P＜0.05）。 结论在常规护理基础上加针刺联合通窍活血汤能降低脑胶质瘤术后气虚血瘀型患者输液港并发症的发生率，改善中医证候，提高护理满意度。
Abstract:
ObjectiveTo observe the preventive effects of acupuncture and orifices-dredging blood-activating decoction (Tongqiao Huoxue Tang) on the complications of totally implantable venous access ports (TIAP) in patients with brain glioma. MethodsA total of 128 patients who accepted TIAP after surgical resection of glioma were allocated to the observation group and the control group according to random number table method with 64 cases in each group. The control group accepted routine nursing intervention on the first day after operation, and the observation group was given with traditional Chinese medicine acupuncture nursing combined with Tongqiao Huoxue Tang based on the therapy the control group accepted. To observe the incidence of TIAP complications, the symptom scores of Qi deficiency and blood stasis pattern and nursing satisfaction between both groups after two weeks of intervention. ResultsThe observation group was lower than the control group in the incidences of TIAP complications such as infection, intraventricular thrombosis, plugged catheter, fibrous protein sheath (P<0.05); after the intervention, the scores of the symptoms including panting, spiritlessness and fatigue, speechless, spontaneous sweating, stabbing pain, ecchymosis, squamous and dry skin, numbness of limb, were lowered in the two groups (P<0.01), the observation group was lower than the control group (P<0.01); The nursing satisfaction rate of the observation group was 93.75% (60/64), which was higher than the 79.69% (51/64) of the control group (P<0.05). ConclusionOn the foundation of routine nursing, acupuncture and Tongqiao Huoxue Tang could reduce the incidence of TIAP complications in patients of Qi deficiency and blood stasis pattern after the surgery of glioma, improve TCM syndromes and raise nursing satisfaction.

相似文献/References:

[1]廖绛阳,张红△.血府逐瘀汤加味配合γ-刀治疗气虚血瘀证中晚期非小细胞肺癌30例[J].西部中医药,2015,28(10):98.
[2]李淑玲,潘文,康开彪,等.益气活血方治疗老年“H型”高血压(气虚血瘀证)临床观察[J].西部中医药,2017,30(01):62.
　LI Shuling,PAN Wen,KANG Kaibiao,et al.Clinical Observation on YiQi HuoXue Formula in Treating Senile Hypertension of H Type( Qi-deficiency and Blood Stasis Syndrome)[J].Western Journal of Traditional Chinese Medicine,2017,30(03):62.
[3]白若冰,荔志云△,任海军.中医中药在脑胶质瘤治疗中的作用研究[J].西部中医药,2018,31(01):134.
　BAI Ruobing,LI Zhiyun,REN Haijun.Research on TCM and Herbs in the Treatment of Glioma[J].Western Journal of Traditional Chinese Medicine,2018,31(03):134.
[4]潘同亮,胡川,张宪亮,等.益心通脉汤结合运动想象疗法对急性脑梗死气虚血瘀证患者神经功能及肢体恢复的影响[J].西部中医药,2026,39(07):167.[doi:10.12174/j.issn.2096-9600.2026.07.32]
　PAN Tongliang,HU Chuan,ZHANG Xianliang,et al.Effects of Yixin Tongmai Decoction Combined with Motor Imagery Therapy on Neurological Function and Limb Recovery in Patients with Acute Cerebral Infarction of Qi Deficiency and Blood Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2026,39(03):167.[doi:10.12174/j.issn.2096-9600.2026.07.32]
[5]王安安,李文娟,谢霞,等.针灸联合补阳还五汤和清脑方治疗脑梗死恢复期气虚血瘀证临床观察[J].西部中医药,2019,32(05):101.
　WANG Anan,LI Wenjuan,XIE Xia,et al.Clinical Observation on Acupuncture Combined with BuYang HuanWu Decoction and QingNao Prescription in the Treatment for Cerebral Infarction at Recovery Phase of Qi-deficiency Blood-Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2019,32(03):101.
[6]杜源,崔鲁杰,赵林.芍药苷治疗脑胶质瘤研究进展[J].西部中医药,2025,38(08):100.[doi:10.12174/j.issn.2096-9600.2025.08.18]
　DU Yuan,CUI Lujie,ZHAO Lin.Research Progress of Paeoniflorin in the Treatment of Glioma[J].Western Journal of Traditional Chinese Medicine,2025,38(03):100.[doi:10.12174/j.issn.2096-9600.2025.08.18]
[7]胡小勤,蒙丹,付蓉,等.高血压病气虚血瘀证患者血清对CRL-1730线粒体细胞色素C凋亡途径的影响[J].西部中医药,2022,35(02):21.[doi:10.12174/j.issn.2096-9600.2022.02.05]
　HU Xiaoqin,MENG Dan,FU Rong,et al.Influence of Serum on CRL-1730 Mitochondrial Cytochrome C Apoptosis Pathway in Patients with Hypertension of Qi Deficiency and Blood Stasis Pattern[J].Western Journal of Traditional Chinese Medicine,2022,35(03):21.[doi:10.12174/j.issn.2096-9600.2022.02.05]
[8]任聪,刘大胜,李玉坤,等.韩学杰益气养心散治疗脑梗死恢复期气虚血瘀证经验[J].西部中医药,2022,35(05):35.[doi:10.12174/j.issn.2096-9600.2022.05.09]
　REN Cong,LIU Dasheng,LI Yukun,et al.Han Xuejie's Experience in Treating Cerebral Infarction at Convalescence Stage of Qi Deficiency and Blood Stasis Pattern by Benefiting-Qi Nourishing-heart Powder[J].Western Journal of Traditional Chinese Medicine,2022,35(03):35.[doi:10.12174/j.issn.2096-9600.2022.05.09]
[9]王欢,罗卫,马思田,等.基于数据挖掘分析中医药治疗脑胶质瘤的用药规律[J].西部中医药,2021,34(04):71.[doi:10.12174/j.issn.2096-9600.2021.04.18]
　WANG Huan,LUO Wei,MA Sitian,et al.Medication Rules of TCM in Treating Glioma Based on Data Mining[J].Western Journal of Traditional Chinese Medicine,2021,34(03):71.[doi:10.12174/j.issn.2096-9600.2021.04.18]
[10]周彤,胡帅航,姚子昂,等.基于网络药理学和分子对接方法探讨侯炜教授辨治脑胶质瘤的用药机制[J].西部中医药,2023,36(07):6.[doi:10.12174/j.issn.2096-9600.2023.07.02]
　ZHOU Tong,HU Shuaihang,YAO Ziang,et al.Discussion on Professor Hou Wei's Drug Rule of Differentiating and Treating Glioma Based on Network Pharmacology and Molecular Docking[J].Western Journal of Traditional Chinese Medicine,2023,36(03):6.[doi:10.12174/j.issn.2096-9600.2023.07.02]

备注/Memo

备注/Memo:
李红超（1986—），男，主管护师。研究方向：医护联动综合评估在输液港并发症预防中的应用研究。E-mail：jidongren13@126.com。沧州市重点研发指导项目（213106046）。
更新日期/Last Update: 2024-03-15