针刺联合通窍活血汤对脑胶质瘤患者术后输液港并发症的预防作用

The Effects of Acupuncture and Orifices-dredging Blood-activating Decoction(Tongqiao Huoxue Tang)on the Complications of Totally Implantable Venous Access Ports in Patients after the Surgery of Brain Glioma

目的:观察针刺联合通窍活血汤对脑胶质瘤患者术后输液港并发症的预防作用。方法:将脑胶质瘤手术切除术后接受完全植入式输液港(totally implantable access ports,TIAP)的气虚血瘀证患者128例按随机数字表法分为对照组和观察组各64例。对照组术后第1天予常规护理干预;观察组在对照组基础上予中医针刺护理联合通窍活血汤干预。干预2周后观察两组患者TIAP并发症发生率、气虚血瘀证症状评分及护理满意度。结果:观察组TIAP并发症中感染、静脉内血栓、导管堵塞、纤维蛋白鞘的发生率低于对照组(P<0.05);干预后两组患者气虚血瘀证症状(气短、神疲乏力、懒言、自汗、刺痛、皮下瘀斑、肌肤甲错、肢体麻木)评分均降低(P<0.01),观察组低于对照组(P<0.01);观察组护理满意度为93.75%(60/64),高于对照组的79.69%(51/64)(P<0.05)。结论:在常规护理基础上加针刺联合通窍活血汤能降低脑胶质瘤术后气虚血瘀型患者输液港并发症的发生率,改善中医证候,提高护理满意度。

Objective:To observe the preventive effects of acupuncture and orifices-dredging blood-activating decoction(Tongqiao Huoxue Tang)on the complications of totally implantable venous access ports(TIAP)in patients with brain glioma.Methods:A total of 128 patients who accepted TIAP after surgical resection of glioma were allocated to the observation group and the control group according to random number table method with 64 cases in each group.The control group accepted routine nursing intervention on the first day after operation,and the observation group was given with traditional Chinese medicine acupuncture nursing combined with Tongqiao Huoxue Tang based on the therapy the control group accepted.To observe the incidence of TIAP complications,the symptom scores of Qi deficiency and blood stasis pattern and nursing satisfaction between both groups after two weeks of intervention.Results:The observation group was lower than the control group in the incidences of TIAP complications such as infection,intraventricular thrombosis,plugged catheter,fibrous protein sheath(P<0.05);after the intervention,the scores of the symptoms including panting,spiritlessness and fatigue,speechless,spontaneous sweating,stabbing pain,ecchymosis,squamous and dry skin,numbness of limb,were lowered in the two groups(P<0.01),the observation group was lower than the control group(P<0.01);The nursing satisfaction rate of the observation group was 93.75%(60/64),which was higher than the 79.69%(51/64)of the control group(P<0.05).Conclusion:On the foundation of routine nursing,acupuncture and Tongqiao Huoxue Tang could reduce the incidence of TIAP complications in patients of Qi deficiency and blood stasis pattern after the surgery of glioma,improve TCM syndromes and raise nursing satisfaction.