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作 者:巫依屏 张金旋 陈丛明 WU Yiping;ZHANG Jinxuan;CHEN Congming(Puning Hospital of Traditional Chinese Medicine,Puning 515300,China;不详)
出 处:《中外医学研究》2022年第9期110-113,共4页CHINESE AND FOREIGN MEDICAL RESEARCH
摘 要:目的:探讨手指康复操应用于经桡动脉行冠状动脉造影(TRCAG)患者的效果。方法:选择2019年9月-2021年3月普宁市中医医院收治的109例择期行TRCAG的患者,采用奇偶数字法分为奇数组和偶数组,奇数组(55例)术后予常规护理,偶数组(54例)在奇数组基础上进行手指康复操锻炼。观察两组手掌周径、疼痛程度(McGill疼痛评分法)、出血情况。结果:术后2、6、12 h,偶数组手掌周径均短于奇数组(P<0.05);偶数组术后12 h内的疼痛程度轻于奇数组(P<0.05);奇数组与偶数组的术后出血情况比较,差异无统计学意义(P>0.05)。结论:TRCAG患者术后进行手指康复操锻炼,可有效减轻患者术后术侧手部肿胀,降低患者术侧肢体疼痛程度,且不会增加穿刺处出血风险。Objective:To explore the effect of finger rehabilitation exercise on patients undergoing transradial coronary angiography (TRCAG).Method:A total of 109 patients who underwent elective TRCAG in Puning Hospital of Traditional Chinese Medicine from September 2019 to March 2021 were divided into the odd group and the even group by odd-even number method.The odd group (55 cases) received routine nursing after operation,and the even group (54 cases) received finger rehabilitation exercise on the basis of odd group.The palm circumference,pain degree (McGill pain score) and bleeding were observed in the two groups.Result:At 2,6 and 12 hours after operation,the palm circumference in the even group was shorter than that in the odd group (P<0.05).Within 12 hours after operation,the degree of pain in the even group was lighter than that in the odd group (P<0.05).There was no significant difference in postoperative bleeding between the odd group and the even group (P>0.05).Conclusion:Finger rehabilitation exercise in TRCAG patients can effectively reduce postoperative operative hand swelling and limb pain,and will not increase the risk of bleeding at the puncture site.
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