中药湿敷结合离子导入疗法治疗化疗性静脉炎的临床研究
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廖双梅,女,副主任护师,主要研究方向是静脉治疗、PICC 置管护理及并发症的处理。

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R 73

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Clinical Study on Treatment of Chemotherapeutic Phlebitis by Chinese Medicine Wet Compress Combined with Iontophoresis
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    摘要:

    摘 要目的:观察中药湿敷结合离子导入疗法治疗化疗性静脉炎的临床疗效。 方法:选取 2019 年 3 月至 2020 年 3 月 荆门市中医医院肿瘤科收治的化疗性静脉炎患者 80 例,通过随机数字表法将其分为对照组和观察组,各 40 例。对照组患 者进行硫酸镁湿敷治疗,观察组患者给予中药湿敷结合离子导入疗法。比较两组患者的治疗效果、疼痛缓解时间、红肿缓 解时间、治愈时间及凝血指标。 结果:观察组患者的治疗总有效率为 97.5 %,明显高于对照组的 72.5 %,差异具有统计学 意义(P < 0.05)。治疗后,观察组疼痛缓解时间、红肿缓解时间、静脉炎治愈时间均短于对照组,差异具有统计学意义 (P < 0.05)。治疗前,两组患者各项凝血指标比较,差异均无统计学意义(P > 0.05);治疗后,观察组患者 D– 二聚体(D–D)、 血浆纤维蛋白原(FIB)水平低于对照组,血浆凝血酶原时间(PT), 活化部分凝血活酶时间(APTT)水平均高于对照组, 差异具有统计学意义(P < 0.05)。 结论:应用中药湿敷结合离子导入疗法治疗化疗性静脉炎疗效显著优于传统治疗方法。

    Abstract:

    AbstractObjective To observe the clinical effect of Chinese medicine wet compress combined with iontophoresis on chemotherapeutic phlebitis. Methods From March 2019 to March 2020, 80 patients with chemotherapeutic phlebitis admitted to the Oncology Department of Jingmen Hospital of Traditional Chinese Medicine were selected and divided into control group and observation group by random number table method, with 40 cases in each group. Patients in the control group were treated with magnesium sulfate wet compress, and patients in the observation group were treated with Chinese Medicine wet compress combined with iontophoresis. The treatment effect, pain relief time, swelling relief time, cure time and coagulation indexes were compared between the two groups. Results The total effective rate of the observation group was 97.5%, which was significantly higher than 72.5% of the control group, the difference was statistically significant (P < 0.05). After treatment, the pain relief time, swelling relief time and phlebitis cure time in the observation group were shorter than those in the control group (P < 0.05). Before treatment, there was no significant difference in various coagulation indexes between the two groups (P > 0.05). After treatment, the levels of D-Dimer (D-D) and fibrinogen (FIB) in the observation group were lower than those in the control group, and the levels of prothrombin time (PT) and activated partial thromboplastin time (APTT) were higher than those in the control group, the differences were statistically significant (P < 0.05). Conclusion The curative effect of Chinese medicine wet compress combined with iontophores is on chemotherapeutic phlebitis is better than traditional treatment.

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  • 收稿日期:2021-09-23
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  • 在线发布日期: 2023-07-26
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