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。
Objective:To 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.Methods:One 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 Dumoxibustion 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.Results:The 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).Conclusion:On 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.
作者
吴琼
董倩
高洁
张阳
李红超
刘唯唯
WU Qiong;DONG Qian;GAO Jie;ZHANG Yang;LI Hongchao;LIU Weiwei(Cangzhou People's Hospital,Cangzhou 061000,China)
出处
《西部中医药》
2024年第5期158-161,共4页
Western Journal of Traditional Chinese Medicine
基金
沧州市重点研发计划指导项目(213106046)。
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
tumor
Du-moxibustion
Qi deficiency and blood stasis
totally implantable access port
complication
Zhuqi Jiema Tang
