艾灸贴贴敷手臂穴位减轻静脉输液疼痛感的效果及对静脉炎的预防作用  

Effect of moxibustion sticking on arm acupoints to reduce the pain of intravenous infusion and the prevention effect of phlebitis

作　　者：侯延 张佳佳 HOU Yan;ZHANG Jiajia(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)

机构地区：[1]陕西省核工业二一五医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第8期167-170,共4页Clinical Research and Practice

基　　金：2020年院级科研立项项目(No.215KYJJ-202018)。

摘　　要：目的探讨艾灸贴贴敷手臂穴位减轻静脉输液疼痛感的效果及对静脉炎的预防作用。方法选取2020年11月至2021年10月收治的450例输注高渗高浓度液体>500 mL的患者为研究对象,根据干预方法不同将其分为A组、B组和C组,各150例。A组施以常规输液护理,B组施以手三里穴按摩护理,C组施以艾灸贴贴敷手臂穴位护理。比较三组的干预效果。结果干预1 h及输液结束时,C组的疼痛数字分级法(NRS)评分均低于A组和B组(P<0.05)。干预后,C组的C-反应蛋白(CRP)、白细胞介素-6(IL-6)水平低于A组和B组(P<0.05)。干预后,C组的心理、生理评分高于A组和B组(P<0.05)。C组的静脉炎总发生率低于A组和B组(P<0.05)。结论艾灸贴贴敷手臂穴位能减轻患者的静脉输液疼痛感,降低炎症因子水平,有效预防静脉炎发生。Objective To investigate the effect of moxibustion sticking on arm acupoints to reduce the pain of intravenous infusion and the prevention effect of phlebitis.Methods A total of 450 patients with infusion of hypertonic high-concentration liquid>500 mL from November 2020 to October 2021 were selected as the research objects.According to different intervention methods,the patients were divided into group A,group B and group C,with 150 cases in each group.The group A was given routine infusion nursing,the group B was given hand Sanli point massage nursing,and the group C was given moxibustion sticking on arm acupoints nursing.The intervention effects of the three groups were compared.Results At 1 h of intervention and at the end of infusion,the Numerical Rating Scale(NRS)score of the group C was lower than that of the group A and the group B(P<0.05).After intervention,the levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the group C were lower than those in the group A and the group B(P<0.05).After intervention,the psychological and physiological scores of the group C were higher than those of the group A and the group B(P<0.05).The total incidence of phlebitis in the group C was lower than that in the group A and the group B(P<0.05).Conclusion Moxibustion sticking on arm acupoints can reduce the pain of the patients'intravenous infusion,reduce the levels of inflammatory factors,and effectively prevent phlebitis.

关 键 词：艾灸贴 贴敷 手臂穴位 静脉输液 疼痛感 静脉炎 

分 类 号：R472[医药卫生—护理学]