超早期手指操锻炼在经桡动脉冠脉造影术后患者中的应用  

Ultra-early finger exercise in patients after transradial coronary angiography

作　　者：曹文美 杨艳平 陆玉蓉 CAO Wen-mei;YANG Yan-ping;LU Yu-rong(Department of Cardiology,Nanjing Jiangbei Hospital Affiliated to Nantong Unicersity,Nanjing,Jiangsu 210048,China)

机构地区：[1]南通大学附属南京江北医院心血管内科,江苏南京210048

出　　处：《中国临床研究》2022年第2期294-296,共3页Chinese Journal of Clinical Research

基　　金：南京市医学科技发展项目(YKK21214)。

摘　　要：目的研究超早期进行手指锻炼在预防经桡动脉行冠状动脉介入术(PCI)后行弹力绷带压迫止血患者术后手指肿胀的效果。方法选取南京江北医院2019年12月至2020年6月经桡动脉行PCI患者207例,随机分为对照组、干预A组和干预B组,每组69例,对照组术后采用传统护理方法,干预A组术后30 min开始进行手指操锻炼,干预B组术后回病房立即进行手指操锻炼,术后6 h观察3组患者手指肿胀程度。结果3组术后手指肿胀发生率、手指肿胀程度比较差异有统计学意义(P<0.01),干预B组优于干预A组和对照组。PCI术后6 h内,3组PCI术后出血程度比较差异无统计学意义(P>0.05)。结论术后回病房立即进行手指锻炼可减轻术后手指肿胀,不会增加术后局部出血风险,提高患者舒适度。Objective To study the effect of ultra-early finger exercise on the prevention of finger swelling in patients undergoing hemostasis by elastic bandage compression after transradial coronary intervention(TRI).Methods A total of 207 patients receiving TRI from December 2019 to June 2020 at Nanjing Jianbei Hospital were randomly divided into control group,intervention group A and intervention group B(n=69,each).The traditional nursing was conducted in control group.Finger exercises began 30 minutes after operation in intervention group A and were performed immediately after the patients returned to the ward in intervention group B.The degree of finger swelling was observed and compared 6 hours after operation among three groups.Results There was significantly difference in the degree of finger swelling among three groups(P<0.01).In controlling the swelling degree,the effect in intervention group B was best,followed by intervention group A and control group.There was no significanct difference in postoperative bleeding among three groups(P>0.05).Conclusion Immediate finger exercise after returning to the ward can reduce postoperative finger swelling,and improve the comfort of patients without increasing the risk of postoperative local bleeding.

关 键 词：冠状动脉造影术 超早期 手指操 手指肿胀 术后出血 

分 类 号：R473.5[医药卫生—护理学]