大黄芒硝外敷联合握拳运动对肿瘤患者PICC置管后血栓静脉炎的影响  

Application of external application with rhubarb and mirabilite combined with handgrip exercise in patients with peripherally inserted central catheter

作　　者：胥桂英[1] 樊庆静 王鲁杰[1] 孟月燕[1] 杨孟祥[1] 

机构地区：[1]山东省聊城市人民医院肿瘤科,山东聊城252000

出　　处：《中西医结合护理（中英文）》2016年第12期77-79,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨大黄芒硝外敷联合握拳运动对肿瘤患者PICC置管后血栓静脉炎的影响。方法 109例晚期恶性肿瘤患者随机分为对照组(n=50)和观察组(n=59)。在常规PICC置管护理基础上,观察组患者采用大黄芒硝外敷联合握拳运动护理干预,对照组仅增加握拳运动干预.观察2组血流感染及血栓性静脉炎发生情况。结果观察组血流感染率低于对照组,差异有统计学意义(P<0.05)。观察组血栓性静脉炎总发生率15.25%(9/59),低于对照组的28.00%(14/50),差异有统计学意义(P<0.05)。结论肿瘤患者PICC置管后采用大黄芒硝外敷联合握拳运动,可有效改善置管后血管情况。Objective To investigate the effect of external application with rhubarb and mi-rabilite combined with handgrip exercise in cancer patients with peripherally inserted central catheter （PICC） . Methods A total of 109 patients with advanced malignant tumors were randomly divided in-to the control group （n= 50） and the observation group （n =59） . Both two groups received routine nursing care on PICC and handgrip exercise, and the external application with rhubarb and mirabilite was used in the observation group. The incidence of catheter related bloodstream infection （CRBI） and thrombophlebitis were compared between two groups. Results the incidence of CRBI was lower in the observation group than that of controls （P 〈0. 05）. The overall rate of thrombophlebitis was 15. 25% （9/59） in the observation group and was 28. 00% （14/50） in the control group, with a significant differ-ence （P 〈0. 05 ）. Conclusion Application of external application with rhubarb and mirabilite com-bined with handgrip exercise can improve the peripheral vein condition in patients with PICC.

关 键 词：大黄 芒硝 握拳运动 恶性肿瘤 PICC置管 血栓性静脉炎 

分 类 号：R472[医药卫生—护理学]