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。
Objective:To explore the effects of TCM hot compress on mechanical phlebitis after PICC at different intervention time.Methods:All 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.Results:The 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).Conclusion:Applying 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.
作者
马芸
栗琼洋
廖娟
孙丽娟
刘春凤
安思
赵楠
MA YUN;LI Qiongyang;LIAO Juan;SUN Lijuan;LIU Chunfeng;AN Si;ZHAO Nan(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Beijing Hospital of TCM Affiliated to Capital Medical University)
出处
《西部中医药》
2021年第12期144-147,共4页
Western Journal of Traditional Chinese Medicine
基金
北京中医药科技发展资金(JJ2016-54)。
