四子散热敷联合中频理疗治疗股动静脉穿刺后综合征疗效分析  

Curative Effect Analysis of Using Sizi Powder Combined with Medium Frequency Physiotherapy in the Treatment of Femoral Arteriovenous Puncture Syndrome

作　　者：黄文静[1] 李杰[1] HUANG Wenjing;LI Jie(Department of Cardiology y Guangdong Provincial Hospital of Traditional Chinese Medicine(Guangzhou Guangdong 51000,China)

机构地区：[1]广东省中医院心内科

出　　处：《四川中医》2019年第11期156-159,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目——以患者报告结局评估中频联合四子散热敷改善经股动静脉介入术后综合症状的临床疗效(编号:20171131)

摘　　要：目的:观察四子散热敷联合中频理疗治疗股动静脉穿刺后综合征的疗效。方法:回顾分析我院2016年6月至2017年11月行股动静脉穿刺的患者115例,根据穿刺后处理方式不同分为治疗组(50例)与对照组(65例),治疗组穿刺后采用四子散热敷联合中频理疗,对照组穿刺后采用热敷联合中频理疗,对比两组股动静脉穿刺后综合征发生情况,及发生综合征患者治疗前后疼痛程度(NRS数字疼痛分级量表)、治疗止痛起效时间、血肿治疗效果及舒适程度(Kolcaba舒适状况量表)。结果:治疗后两组穿刺后综合征发生率无显著差异(χ^2=0.098,P=0.754),治疗后两组疼痛程度明显减轻(P<0.05),其中观察组初次治疗后、治疗1天后及治疗3天后减轻程度明显优于对照组(t=7.140,2.083,3.318;P=0.000,0.039,0.001);治疗组初次治疗后、治疗1天后及治疗3天后的止痛起效时间均显著少于对照组(t=-10.491,-11.200,-12.003;P=0.000,0.000,0.000);治疗组治疗血肿总有效率显著高于对照组(95.00%vs60.87%;χ^2=6.892,P=0.008);治疗组在舒适评分中生理及心理项得分显著高于对照组(t=7.019,2.676;P=0.000,0.008)。结论:四散子联合中频理疗治疗股动静脉穿刺后综合征止疼及消肿效果明显,且能有效提高患者生理及心理舒适度。Objective:To explore the effect of using Sizi Powder combined with medium frequency physiotherapy in the treatment of femoral arteriovenous puncture syndrome. Methods:From June 2016 to November 2017, 115 patients with femoral arteriovenous puncture in our hospital were retrospectively analyzed, they were divided into observation group(50 cases) and controlled group(65 cases) according to the different treatment after puncture, the observation group received Sizi Powder combined with medium frequency physiotherapy, the puncture syndrome controlled group received medium frequency physiotherapy, the degree of pain(Numerical Rating Scale, NRS) before and after treatment, the onset time of pain relief in each treatment, the therapeutic effect of hematoma and the comfort degree of the two groups(General Comfort Questionnaire, GCQ) were compared in 72 hours. Results:There was no significant difference in pain between the two groups before treatment(P>0.05), the pain was significantly reduced in both groups after treatment(P<0.05), the reduction degree of the observation group after immediate treatment, 1 day after treatment and 3 day after treatment were significantly better than that of the controlled group(t=7.140, 2.083, 3.318;P=0.000, 0.039, 0.001). The onset time of pain relief of the observation group after immediate treatment, 1 day after treatment and 3 day after treatment were significantly less than that of the controlled group(t=-10.491,-11.200,-12.003;P=0.000, 0.000, 0.000). The therapeutic effect of hematoma in the observation group was significantly better than the controlled group(98.41% vs. 85.71%;χ^2=5.322, P=0.021). The scores of physiological and psychological dimensions in the observation group were significantly higher than those in the controlled group(t=7.019, 2.676;P=0.000, 0.008). Conclusion:Sizi Powder combined with medium frequency physiotherapy has a great effect in the treatment of femoral arteriovenous puncture syndrome, it can effectively reduce swelling, pain, and improve the physical an

关 键 词：四散子 中频理疗 股动静脉穿刺 血肿 

分 类 号：R543[医药卫生—心血管疾病]