艾灸治疗PICC置管后机械性静脉炎临床效果观察  

Moxibustion treatment of PICC mechanical phlebitis: a randomized controlled clinical trial

作　　者：徐秀琴[1] 王玉涛[1] 王楠楠[1] 

机构地区：[1]北京中医药大学东方医院普外科,北京100078

出　　处：《临床药物治疗杂志》2017年第4期71-74,共4页Clinical Medication Journal

基　　金：北京中医药大学中青年教师资助项目(编号:2013-JYB22-JS-16401)

摘　　要：目的:观察艾灸治疗PICC置管后机械性静脉炎的临床效果。方法:选择2013年3月—2015年3月于北京中医药大学东方医院住院治疗接受PICC置管发生机械性静脉炎的患者,将患者随机分成研究组和对照组,研究组在常规治疗的基础上采用艾灸治疗,在患者穿刺点上方4~5cm处沿穿刺静脉走行与皮肤相距2~3cm进行温和灸,以患者感觉温热舒适为宜,同时加灸足三里穴,每次灸10~15min,以局部皮肤起红晕为度。每日2次,连续7d观察两组临床治疗效果。结果:治疗前两组患者的各级静脉炎例数比较差异无统计学意义(P>0.05);经过艾灸联合治疗后研究组静脉炎Ⅰ级3例,Ⅱ级2例,无Ⅲ、Ⅳ级患者;对照组患者Ⅰ级9例,Ⅱ级6例,Ⅲ级5例、Ⅳ级2例,两组差异具有统计学意义(P<0.05);治疗后对照组患者临床痊愈43例,无效11例,总有效率79.63%;研究组患者临床痊愈49例,无效5例,总有效率90.74%,两组比较差异有统计学意义(P<0.05)。结论:艾灸联合西药能有效治疗PICC置管后机械性静脉炎,且具有操作简单、经济、患者易接受等优点,值得临床推广。Objective： To observe the efficacy of moxibustion for treatment of PICC mechanical phlebitis. Methods： A total of 108 hospitalized patients who delevoped mechanical phlebitis after PICC from March 2013 to March 2015 were enrolled in the randomized controlled trial, among whom 78 were male and 28 were female. The subjects aged 60.1 - 7.8 years （47-73 years）. The patients were randomly divided into study group and control group, with 54 cases in each group. The study group received moxibustion treatment on the basis of routine treatment. Gentle moxibustion was performed 2-3 cm above the skin site which was 4-5 cm away from the puncture point along the vein until the patient felt warm and comfortable. At the same time moxibustion was conducted at Zusanli points for 10 to 15 minutes each time to make the local skin flush. Clinical responses were observed twice a day for 7 days. Results： After moxibustion treatment there were 3 cases of phlebitis grade I , 2 cases of II grade, none of III and IV grade in the study group and 9 cases of grade I , 6 cases of grade H , 5 cases of grade IlI, 2 cases of grade iV in the control group （P〈0.05）. After treatment there were 43 cured cases and 11 uneffective cases in the control group, with a total effiective rate of 79.63%; there were 49 cured cases and 5 uneffective cases in the study group, with a total efective rate of 90.74% （P〈0.05）. Conclusion： Moxibustion combined with Western medicine can effectively relieve PICC mechanical phlebitis, which is simple, economical, and easy to be accepted by patients, thus is worthy of promotion.

关 键 词：外周静脉 穿刺 机械性静脉炎 艾灸 治疗 有效率 

分 类 号：R973.2[医药卫生—药品]