光子治疗联合下肢抬高对冠状动脉搭桥患者取血管下肢恢复的影响  

Effect of photon therapy combined with loweRlimb elevation on recovery of vessel-selected lower limbs in patients with coronary artery bypass grafting

作　　者：谢家湘 邵永丰 黄娟 XIE Jiaxiang;SHAO Yongfeng;HUANG Juan(the Second Ward in Department of CardiovasculaRSurgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院心脏大血管外科二病区,江苏南京210029

出　　处：《实用临床医药杂志》2022年第3期5-8,共4页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金资助项目(81974033)。

摘　　要：目的探讨光子治疗联合下肢抬高30°对冠状动脉搭桥术(CABG)患者取血管的下肢恢复的影响。方法将CABG后取下肢血管的患者90例随机分为观察组(n=44,中途退出1例)和对照组(n=45)。对照组采用常规护理方法,观察组护理采用光子治疗联合下肢抬高30°。比较2组患者术后第1、3、4、5天取血管下肢的肿胀程度、疼痛评分、切口愈合时间以及护理满意度。结果观察组术后第1、3、4、5天取血管下肢的肿胀程度、疼痛评分、伤口愈合时间轻于、低于、短于对照组,患者对护理服务的满意度高于对照组,差异均有统计学意义(P<0.05)。结论光子治疗联合下肢抬高30°能够减轻CABG患者取血管下肢的肿胀程度,减轻伤口疼痛,缩短伤口愈合时间,提高护理服务质量。Objective To investigate the effect of photon therapy combined with loweRlimbs elevating foR30°on the recovery of vessel-selected loweRlimbs in patients with coronary artery bypass grafting(CABG).Methods A total of 90 patients with vessel selection in loweRlimbs afteRCABG were randomly divided into observation group(n=44,one case withdrew during research)and control group(n=45).The control group was treated with routine nursing methods,and the observation group was treated with photon therapy combined with loweRlimbs elevating foR30°.The swelling degree,pain score,incision healing time and nursing satisfaction degree from the first day to the fifth day afteRoperation were compared between the two groups.Results The swelling degree,pain score and incision healing time of vessel-selected loweRlimbs at 1,3,4,5 d in the observation group were significantly lighter,loweRand shorteRthan those in the control group,while the patient′s satisfaction degree to nursing service was significantly higheRthan that in the control group(P<0.05).Conclusion Photon therapy combined with loweRlimb elevating foR30°can alleviate the swelling degree of vessel-selected loweRlimbs in patients with CABG,reduce the incision pain,shorten incision healing time and enhance the quality of nursing service.

关 键 词：光子治疗 下肢抬高 冠状动脉搭桥 取血管的下肢 恢复 肿胀 

分 类 号：R493[医药卫生—康复医学] R473.6[医药卫生—临床医学]