中药外敷治疗经桡动脉冠脉介入术并发血肿临床研究  

Clinical Research on External Application of Chinese Medicine in the Treatment of Complication of Hematoma by Radial Artery Coronary Intervention Operation

作　　者：贾西姣 付文杰 

机构地区：[1]郑州市中医院,河南郑州450000

出　　处：《中医学报》2016年第4期514-516,共3页Acta Chinese Medicine

基　　金：河南省科委"九五"科技攻关项目(00117014)

摘　　要：目的:观察中药外敷治疗经桡动脉冠脉介入术并发血肿的临床疗效。方法:将60例经桡动脉冠脉介入术并发前臂血肿患者随机分为治疗组与对照组,每组30例。对照组患者采取术后常规治疗措施,治疗组在对照组基础上加用中药外敷和TDP灯照射进行联合治疗,中药采用自制的散瘀膏(大黄、蒲黄、蒲公英、黄柏、薄荷等)进行外敷治疗,治疗后使用抑郁自评量表和焦虑自评量表对两组患者心理状态进行评价,采取SF-36量表(the MOS item short from health survey,SF-36)为依据制定调查问卷,分析两组患者治疗后对生活质量的影响,并比较两组患者治疗前后前臂的肿胀程度和焦虑程度指标。结果:治疗后治疗组肿胀程度明显低于对照组,差异有统计学意义(P<0.05);出血停止时间早于对照组,差异有统计学意义(P<0.05);治疗组患者抑郁和焦虑情况改善程度优于对照组,两组比较,有统计学意义(P<0.05);通过问卷调查,治疗组患者生活质量各项指标均高于对照组,两组比较,差异有统计学意义(P<0.05)。结论:加强对经桡动脉冠脉介入术后并发血肿患者的综合治疗措施,可及时缓解患者前臂肿胀,改善患者抑郁和焦虑情况,有利于患者预后康复,提高生活质量。Objective：To observe the clinical effect of external application of Chinese medicine in the treatment of complication of hematoma by radial artery coronary intervention operation. Methods：60 patients through radial artery coronary interention concurrent forearm hematomas patients were randomly divided into the treatment group and the control group,each of 30 cases. In the control group patients postoperative routine treatment and nursing measures,the observation group based on the combined treatment with Chinese medicine external treatment,traditional Chinese medicine using homemade scattered stasis cream（ rhubarb,cattail pollen,dandelion,cortex phellodendri,mint,etc.） for external treatment,and some by the self-assessment lists of anxiety and depression self rating scale（ SAS＆SDS） to evaluate two groups of patients psychological status,take the health questionnaire（ SF-36scale） based on the questionnaire,the analysis of the effect of two groups of patients before and after treatment the quality of life,and compared the two groups before and after treatment in patients with forearm swelling degree and anxiety degree index. Results：Swelling in the treatment group after treatment was significantly lower than that of control group（ P 〈 0. 05）,bleeding stop time earlier than the control group（ P 〈 0. 05）,the treatment group patients with depression and anxiety degree of improvement was better than that of control group,the difference between groups was statistically significant（ P 〈 0. 05）,through the questionnaire survey,the treatment group patients quality of life indicators were higher than control group,difference between groups was statistically significant（ P 〈 0. 05）. Conclusion：Strengthening the radial artery in patients with coronary intervention by the hematoma after comprehensive nursing measures can timely relieve swelling in the patients with forearm,improve patients with depression and anxiety,the prognosis of patients with good recovery,improve the quality

关 键 词：经桡动脉冠脉介入术并发血肿 散瘀膏 中药外敷法 生活质量 

分 类 号：R259.43[医药卫生—中西医结合]