老年消化道肿瘤患者PICC术后穴位电刺激预防深静脉血栓的效果分析  

Effects of Electric Acupoint Stimulation on Prevention of Deep Venous Thrombosis to Elderly Patients With Gastrointestinal Malignancies After PICC Operation

作　　者：苏黎[1] 吴梅 夏荣[1] 申群喜[1] 李敏[1] 

机构地区：[1]深圳市第二人民医院骨三科,广东深圳518035 [2]深圳市职业病防治院职业康复科

出　　处：《中南医学科学杂志》2012年第3期318-321,共4页Medical Science Journal of Central South China

基　　金：深圳市卫生局2010年科技项目(编号:201003051)资助

摘　　要：目的探讨穴位电刺激(AS)对预防老年消化道肿瘤患者经外周中心静脉插管(PICC)术后深静脉血栓(DVT)形成的效果。方法回顾性分析140例老年消化道肿瘤PICC术后患者,分成常规护理组与穴位电刺激组(常规护理+AS),分别比较两组术前及术后3周置管侧腋静脉流速、血液流变学及DVT发生率的差异。结果穴位电刺激组腋静脉流速术后3周较常规护理组显著加快(P<0.05);血粘度值降低(P<0.05)。穴位电刺激能显著降低DVT发生率(χ2=3.88,P<0.05)。结论穴位电刺激能明显改善老年消化道肿瘤患者PICC术后置管上肢的血液循环,降低血粘度,有效预防DVT的形成。Objective To study the effects of electric acupoint stimulation （AS） on prevention of deep venous thrombosis to elderly patients with Gastrointestinal Malignancies after peripherally inserted central catheter （ PICC ）. Methods 140 elderly patients with Gastrointestinal Malignancies were divided into routine nursing（ RN ,70）group and rou- tine nursing group plus electric acupoint stimulation （AS ,70）, randomizely. Axillary vein flux and blood viscosity and inci- dence of DVT of the both groups were compared respectively. Results Compared with group RN and AS, the axillary vein flux increased evidently （ P 〈 0.05） and the blood viscosity decreased in group AS （ P 〈 0.05 ） 3 weeks after PICC, while the incidence of DVT decreased obviously（ P 〈 0. 05 ）. Conclusions E1 ectric acupoint stimulation in elderly pa- tients with malignant gastrointestinal tumor after PICC could improve blood circulation, decrease blood viscosity and prevent deep venous thrombosis effectively in the upper limb deep veins.

关 键 词：穴位电刺激 老年 消化道肿瘤 经外周中心静脉插管术 深静脉血栓 

分 类 号：R735[医药卫生—肿瘤]