中医按摩缓解注射低分子肝素所致焦虑和疼痛的效果评价  

Effect evaluation of TCM massage on alleviation of pain and anxiety caused by injection of low molecular heparin

作　　者：李欢[1] 刘登贤[2] 史培娜[2] 朱耀斌[3] 刘新[1] 

机构地区：[1]首都医科大学附属北京安贞医院抢救中心急诊观察室,北京100029 [2]首都医科大学附属友谊医院 [3]首都医科大学附属北京安贞医院小儿心脏中心,北京100029

出　　处：《护理学杂志》2015年第16期47-49,共3页

基　　金：北京市自然科学基金面上项目(7152045)

摘　　要：目的探讨中医按摩对缓解低分子肝素注射所致焦虑和疼痛的效果。方法将80例经皮冠状动脉介入术后且皮下注射低分子肝素的患者随机分为观察组和对照组各40例,入组前以传统方法注射低分子肝素2次,分组后每例患者再注射4次,对照组继续采用传统方法注射,观察组在消毒前采用中医"捏法"按摩3 min再注射,注射前对两组患者采用焦虑自评量表(SAS)评分,注射后使用数字疼痛量表(NRS)评分,对两组注射前后的评分进行比较。结果观察组SAS及NRS评分显著低于对照组(均P<0.01)。结论注射低分子肝素前局部中医按摩注射部位有助于减轻患者焦虑及注射疼痛,从而提高患者注射依从性。Objective To explore the effect of TCM massage on alleviation of pain and anxiety caused by injection of low molecular heparin（LMH）.Methods Eighty patients after percutaneous coronary intervention were injected with LMH twice in traditional way and then randomized into an observation group and a control group with 40 cases in each.Patients in the control group received LMH injection in traditional way for 4times,while those in the observation group received 3-minute TCM massage with ＂pinch method＂ before each injection.Self-rating anxiety scale（SAS）and numerical rating scale（NRS）were utilized to assess anxiety before each injection and pain after each injection.Results The scores of SAS and NRS in the observation group were significantly lower than in the control group（P〈0.01 for both）.Conclusion TCM massage before LMH injection alleviates anxiety and injection related pain,and improves patients′compliance with LMH injection.

关 键 词：经皮冠状动脉介入术 低分子肝素 注射 中医按摩 焦虑 疼痛 

分 类 号：R248[医药卫生—中医临床基础] R472[医药卫生—中医学]