艾灸联合综合防治措施预防肿瘤患者深静脉血栓形成效果分析
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R730.6

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Analysis on Effect of Moxibustion Combined with Integrated Prevention and Treat⁃ ment on Prevention of Deep Venous Thrombosis in Patients with Tumor
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    摘要:

    目的:观察在综合防治措施的基础上加用艾灸对肿瘤患者深静脉血栓(DVT) 形成的防治效果。方法:将80 例肿瘤患者随机分为对照组和观察组各40 例。2 组均接受弹力袜、抬高下肢、按摩、饮食护理、药物等综合防治措施,观察组加予艾灸涌泉和足三里。2 组均观察14 d。每天检查肢体的疼痛、肿胀、麻木症状,下肢皮肤色泽和温度有无变化,计算2 组的DVT发生率,治疗前后测量下肢血流速度、下肢周径,检测纤维蛋白原(FIB)、D-二聚体(D-D) 水平。结果:观察组肿痛、麻木和血流变缓的发生率均低于对照组,差异均有统计学意义(P<0.05),DVT 和皮色改变的发生率虽低于对照组,但组间比较,差异均无统计学意义(P>0.05)。2 组下肢血流速度均较治疗前减慢(P<0.05),下肢周径均较治疗前增加(P<0.05)。观察组下肢血流速度快于对照组(P<0.05),下肢周径小于对照组(P<0.05)。2 组FIB、D-D 水平均较治疗前下降(P<0.01),观察组FIB 和D-D 水平均低于对照组(P<0.01)。结论:在综合防治措施的基础上加用艾灸涌泉和足三里,能有效促进肿瘤患者的血液循环,降低发生DVT 的风险。

    Abstract:

    Abstract: Objective: To observe the preventive effect of moxibustion based on integrated prevention and nursing on deep venous thrombosis(DVT) in patients with tumor. Methods: A total of 80 cases of patients with tumor were randomly divided into the control group and the observation group, 40 cases in each group. Both groups were given integrated prevention and nursing measures such as compression stockings, raising the lower limbs, massage, diet nursing and medicine, and the observation group was additionally treated with moxibustion at Yongquan(KI1) and Zusanli(ST36). Both groups were observed for 14 days. Every day, the symptoms including pain, swelling and numbness of limbs, and the changes in the skin color and temperature of lower limbs were inspected; the incidence of DVT in the two groups was calculated. Before and after treatment,the blood flow velocity and perimeter of lower limbs were measured;the levels of fibrinogen(FIB) and D- dimer(D- D) were detected. Results: The incidence of swelling pain, numbness and blood flow slowing down in the observation group was lower than that in the control group,differences being significant(P<0.05);the incidence of DVT and skin color changing was lower than that in the control group,but there was no significance in differences (P>0.05). The blood flow velocity of lower limbs in the two groups was slowed down when compared with that before treatment(P<0.05), and the perimeter of lower limbs was increased when compared with that before treatment(P<0.05). The blood flow velocity of lower limbs in the observation group was faster than that in the control group(P<0.05),and the perimeter of lower limbs was smaller than that in the control group(P<0.05). The levels of FIB and D- D in the two groups were decreased when compared with those before treatment(P<0.01),and the above two levels in the observation group were lower than those in the control group(P<0.01). Conclusion:The additional application of moxibustion at Yongquan(KI1) and Zusanli(ST36) based on integrated prevention and nursing can effectively promote the blood circulation in patients with tumor,reduce the risk of DVT.

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吴小义.艾灸联合综合防治措施预防肿瘤患者深静脉血栓形成效果分析[J].新中医,2020,52(13):169-171

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  • 在线发布日期: 2020-07-10
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