隔姜灸对乳腺癌改良根治术后血液高凝状态的干预效果
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女,硕士在读,护师

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广西壮族自治区中医药局自筹经费科研课题(GZZC2019133);2020年广西中医药适宜技术开发与推广项目立项课题(GZSY20-19)


Effect of ginger-separated moxibustion on blood hypercoagulability in patients after modified radical mastectomy
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    摘要:

    目的 探讨隔姜灸治疗乳腺癌改良根治术后血液高凝状态的疗效。 方法 将106例行乳腺癌改良根治术患者随机分为对照组(n=54)和观察组(n=52)。对照组术后采取常规护理,观察组在对照组的基础上从术后1~7 d在患者双侧血海穴、三阴交穴、足三里穴及太冲穴进行隔姜灸干预,比较两组患者术前1 d及术后7 d凝血功能相关指标。 结果 与对照组比较,观察组患者术后7 d凝血酶原时间、活化部分凝血活酶时间显著延长,纤维蛋白原及D-二聚体含量显著降低(均P<0.05);两组均未发现出血征象。 结论 隔姜灸可安全有效地改善乳腺癌改良根治术后患者血液高凝状态。

    Abstract:

    Objective To explore the effect of ginger-separated moxibustion on hypercoagulable state of blood in patients after modified radical mastectomy. Methods Totally, 106 breast cancer patients after modified radical mastectomy were randomized into a control group of 54 and an intervention group of 52. The control group was given routine care, while the intervention group received ginger-separated moxibustion at both sides of acupoints of Xuehai, Sanyinjiao, Zusanli and Taichong from the postoperative day 1 to day 7.Coagulation parameters were measured at 1 day before the surgery and at postoperative day 7 in both groups. Results Compared with the control group, prothrombin time (PT) and activated partial thromboplastin time (APTT) were significantly prolonged, fibrinogen and D-dimer concentrations were significantly reduced in the intervention group (P<0.05 for all). No patient in both groups had developed bleeding. Conclusion Ginger-separated moxibustion can effectively improve the blood hypercoagulability of patients after modified radical mastectomy.

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邓玉燕,庞永慧,莫钦国,韦薇,何英煜,谭虹虹,茅传兰.隔姜灸对乳腺癌改良根治术后血液高凝状态的干预效果[J].护理学杂志,2020,35(11):32-35

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  • 收稿日期:2020-01-10
  • 最后修改日期:2020-03-05
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  • 在线发布日期: 2022-09-06