温和灸联合握球训练对PICC置管结肠癌患者舒适度、凝血功能和置管相关静脉血栓发生率的影响

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Abstract Objective: To explore the influence of mild moxibustion combined with ball holding training on comfort, coagulation function and incidence rate of catheter-related venous thrombosis in colon cancer patients with PICC catheterization. Methods 80 patients with colon cancer who received PICC catheterization in the hospital were selected from January 2021 to January 2024, and they were divided into group A (single ball holding training, n=40) and group B (mild moxibustion on the basis of group A, n=40) by adopting random envelope method. The TCM syndromes scores, comfort [Visual Analogue Scale (VAS) ], quality of life [36-item Short-Form Health Survey Scale (SF-36) ], coagulation function [platelet count (PLT), prothrombin time (PT), plasma fibrinogen (FIB), D-dimer (D-D) ], hemorheological indexes [high shear whole blood viscosity (HBV), low shear whole blood viscosity (LBV), plasma viscosity (PV), hematocrit (HCT) ] and incidence rate of catheter-related venous thrombosis were compared between groups before and after intervention. Results Before intervention, there were no significant differences in scores of TCM syndromes, VAS score, SF-36 score, PLT, PT, FIB, D-D, HBV, LBV, PV and HCT between the two groups. After intervention, the scores of VAS and SF-36 and levels of PT, HBV, LBV, PV and HCT were increased in both groups, and the scores and levels in group B were higher than those in group A. The scores of TCM syndromes and levels of PLT, FIB and D-D in the two groups were decreased, and the scores and levels were lower in group B than those in group A. The incidence rate of catheter-related venous thrombosis in group A was 17.50%, which was higher than 2.50% in group B. Conclusion The application of mild moxibustion combined with ball holding training for colon cancer patients with PICC catheterization can effectively enhance the comfort and quality of life, improve the coagulation function and hemorheology, and reduce the incidence rate of catheter-related venous thrombosis.

Key words： mild moxibustion ball holding training peripherally inserted central catheter colon cancer comfort

Received: 31 May 2024

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R47

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	ZHANG Mi
	ZHANG Dahua
	ZHANG Jie
	HE Qing
	MEI Yuwei

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ZHANG Mi,ZHANG Dahua,ZHANG Jie等. Influence of mild moxibustion combined with ball holding training on comfort, coagulation function and incidence rate of catheter-related venous thrombosis in patients receiving PICC catheterization for colon cancer[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(5): 41-45.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I5/41

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