[1]吴琼,董倩,高洁,等.督灸结合助气解麻汤对肿瘤患者输液港并发症的预防效果分析[J].西部中医药,2024,37(05):158-161.[doi:10.12174/j.issn.2096-9600.2024.05.31]
　WU Qiong,DONG Qian,GAO Jie,et al.Analysis of the Preventive Effect of the Combination of Du-moxibustion and Zhuqi Jiema Tang on the Complications of Implantable Infusion Port in Tumor Patients[J].Western Journal of Traditional Chinese Medicine,2024,37(05):158-161.[doi:10.12174/j.issn.2096-9600.2024.05.31]
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督灸结合助气解麻汤对肿瘤患者输液港并发症的预防效果分析

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年05期
页码:
158-161
栏目:
特色医疗
出版日期:
2024-05-15

文章信息/Info

Title:
Analysis of the Preventive Effect of the Combination of Du-moxibustion and Zhuqi Jiema Tang on the Complications of Implantable Infusion Port in Tumor Patients
作者:
吴琼, 董倩, 高洁, 张阳, 李红超, 刘唯唯
沧州市人民医院，河北 沧州 061000
Author(s):
WU Qiong, DONG Qian, GAO Jie, ZHANG Yang, LI Hongchao, LIU Weiwei
Cangzhou People's Hospital, Cangzhou 061000, China
关键词:
肿瘤; 督灸; 气虚血瘀证; 完全植入式输液港; 并发症; 助气解麻汤
Keywords:
tumor; -moxibustion; deficiency and blood stasis; totally implantable access port; complication
分类号:
R245.81
DOI:
10.12174/j.issn.2096-9600.2024.05.31
文献标志码:
B
摘要:
目的探讨督灸结合助气解麻汤对气虚血瘀型肿瘤患者输液港并发症的预防效果。 方法将100例进行化疗治疗的恶性肿瘤患者按随机数字表法分为对照组和观察组各50例。两组患者由相同医生执行完全植入式输液港（totally implantable venous access port，TIAP）。对照组术后第1天进行常规护理，观察组在对照组基础上予督灸结合助气解麻汤干预，两组疗程均为2周。比较两组患者静脉炎、置管感染发生情况及气虚血瘀证主症评分。 结果观察组静脉炎发生率为4.00％（2/50），低于对照组的20.00%（10/50）（P＜0.05）；观察组导管尖端异位、导管渗漏、导管堵塞、感染的总发生率为8.00%（4/50），低于对照组的26.00%（13/50）（P＜0.05）；治疗后两组患者气虚血瘀证主症评分均降低（P＜0.01），观察组降低程度高于对照组（P＜0.01）。 结论对于肿瘤进行输液港患者在西医常规护理措施的基础上，采取督灸结合助气解麻汤有助于降低患者静脉炎，预防置管感染，并促进中医证候的改善。
Abstract:
ObjectiveTo investigate the preventive effects of Du-moxibustion joined with Zhuqi Jiema Tang on the complications of infusion port in tumor patients of Qi deficiency and blood stasis pattern. MethodsOne hundred patients with malignant tumors undergoing chemotherapy were divided into 50 cases each in the control group and the observation group according to the random number table method. Totally implantable access port (TIAP) was performed by the same physician in both groups. Routine nursing measures were carried out in the control group on the first postoperative day, and the observation group was given the intervention of Du-moxibustion combined with Zhuqi Jiema Tang on the basis of the control group. The course of treatment for both groups was two weeks. To compare the occurrence of phlebitis, tube infection and the main symptom score of Qi deficiency and blood stasis syndrome between the two groups. ResultsThe incidence of phlebitis in the observation group was 4.00% (2/50), lower than 20.00% (10/50) in the control group (P<0.05); the total incidence of catheter tip ectasia, catheter leakage, catheter occlusion and infection in the observation group was 8.00% (4/50), lower than 26.00% (13/50) in the control group (P<0.05); the main symptom scores of the syndrome of Qi deficiency and blood stasis were reduced in both groups after treatment (P<0.01), and the reduction was better than that of the control group (P<0.01). ConclusionOn the basis of Western medicine routine nursing for patients with tumors undergoing TIAP, Du-moxibustion combined with the decoction can reduce the incidence of phlebitis, prevent catheter infection, and improve the syndromes.

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备注/Memo

备注/Memo:
吴琼（1983—），女，副主任护师。研究方向：静脉疾病的中西医结合诊治。E-mail：wq786264326@126.com。沧州市重点研发计划指导项目（213106046）。
更新日期/Last Update: 2024-05-15