主动踝泵运动预防心脏射频消融术后患者术肢肿胀疼痛研究  

The effects of active ankle pump exercise to prevent limbs edema and pain of cardiac radiofrequency ablation

作　　者：姜欣 舒茂琴 柴虹 朱平 廖品亮 江敏 Jiang Xin;Shu Maoqin;Chai Hong;Liao Pinliang;Jiang Min(Department of cardiology,First Affiliated Hospital of Army Military University,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院心血管内科,重庆400038

出　　处：《护理学杂志》2023年第10期31-33,共3页Journal of Nursing Science

基　　金：国家重点研发计划项目(2018YFC1312501)。

摘　　要：目的探讨主动踝泵运动预防心脏射频消融术后术肢肿胀及疼痛的效果。方法将99例射频消融术患者按入院时间段分组,将2022年6~7月住院患者分为对照组(50例),2022年8~9月住院患者分为观察组(49例)。对照组术后按常规护理;观察组术后接受主动踝泵运动护理干预,即成立专门的踝泵运动项目监督组,指导患者分别在术后2 h、4 h、6 h、12 h、18 h、24 h行主动踝泵运动,患者依次完成踝关节屈伸和环转两组动作,每组3~5次,持续时间约10 min,两腿交替进行。比较两组术后术肢肿胀发生率、术肢肌肉疼痛评分、术肢温度异常发生率、腰酸/腰痛发生率等指标。结果观察组术后12 h术肢肿胀发生率及12 h内最严重术肢肌肉疼痛评分显著低于对照组(均P<0.05);两组下肢温度异常和腰酸/腰痛发生率比较,差异无统计学意义(均P>0.05)。结论主动踝泵运动能预防心脏射频消融术后术肢肿胀和缓解术肢肌肉疼痛。Objective To investigate the clinical effect of active ankle pump exercise for preventing postoperative limb swelling and pain after cardiac radiofrequency ablation.Methods A total of 99 patients undergoing radiofrequency ablation were divided into two groups according to the admission time,and inpatients were divided into control group(n=50)from June to July in 2022,and intervention group(n=49)from August to September in 2022.The control group received routine nursing,and the observation group received active ankle pump exercise nursing intervention.A special ankle pump exercise supervision group was set up to guide patients to perform active ankle pump exercise at 2 h,4 h,6 h,12 h,18 h and 24 h after operation,patients need to complete two groups of movements of ankle extension and rotation and in turn.Each group repeated for 3 to 5 times for a total duration of about 10 min,and the legs are conducted alternately.The incidence of postoperative limb swelling,limb muscle pain score,abnormal limb temperature and low back pain were compared between the two groups.Results The incidence of posto-perative limb swelling and the score of postoperative limb muscle pain in the intervention group were significantly lower than those in the control group at 12 hours after operation,and the difference was statistically significant(all P<0.05).There was no significant difference between the two groups in the incidence of lower limb temperature abnormality and low back pain/low back pain(P>0.05).Conclusion Active ankle pump exercise has important clinical value in preventing postoperative limb swelling and alleviating muscle pain after cardiacradio frequency ablation and is worth popularizing.

关 键 词：心律失常 射频消融术 术肢肿胀 肌肉疼痛 踝泵运动 康复护理 

分 类 号：R473.5[医药卫生—护理学]