穴位按压缓解PICC置管患者血管痉挛的效果

Effect of acupressure on vasospasm remission for patients during PICC technique

目的探讨穴位按压对缓解PICC置管血管痉挛的效果。方法将60例超声引导下改良Seldinger技术PICC置管过程中血管痉挛患者随机分为对照组和观察组各30例。对照组采用局部热敷，观察组予按压内关穴进行干预。观察两组效果。结果观察组血管痉挛持续时间为（213．70±33．196）s，对照组血管痉挛持续时间为（270．60±84．985）s，观察组显著少于对照组，两组差异具有统计学意义（t=-3．416，P〈0．01）。结论穴位按压能有效地缓解PICC置管血管痉挛，缩短血管痉挛持续时间，提高PICC置管的成功率。

Objective To evaluate the effect of acupressure on vasospasm remission for patients during PICC technique. Methods A total of 60 patients occurred vasospasm during PICC technique using ultrasound- guided improved Seldinger technology were randomly divided into control group （n = 30） and observation group （n = 30）. The control group received the hot compress, while observation group received the acupuncture on point Neiguan. Results Observation group had significantly lower vasospasm duration than that of control group [（213.70 ±33. 196）s vs （270.60 ±84. 985） s;t = -3.416.P 〈0.011. Conclusions Aeupressure can effectively reduce the duration of vasospasm, and improve the success rate of PICC technique.