手指康复操联合中医点穴按摩在经桡动脉冠状动脉介入手术患者中的应用  

Application of finger rehabilitation exercises combined with traditional Chinese medicine acupoint massage in patients undergoing transradial coronary intervention surgery

作　　者：吴春蕾 潘芳云 张琴琴 WU Chunlei;PAN Fangyun;ZHANG Qinqin(Department of Cardiovascular Medicine,Wenzhou Central Hospital,Zhejiang Province,Wenzhou 325000,China)

机构地区：[1]浙江省温州市中心医院心血管内科,浙江温州325000

出　　处：《中国医药导报》2024年第17期62-65,共4页China Medical Herald

基　　金：浙江省基础公益研究计划项目(LGF22H020016);浙江省温州市基础性公益科研项目(Y20220672)。

摘　　要：目的 探讨手指康复操联合中医点穴按摩在经桡动脉冠状动脉介入(TRI)手术患者中的应用。方法 选取2022年6月至2023年10月浙江省温州市中心医院心血管内科行TRI治疗的150例患者,按照随机数字表法将其分为对照组和试验组,每组75例。对照组采用传统肢体锻炼,试验组采用手指康复操联合中医点穴按摩。比较两组术前及术后2、4、6、24 h的疼痛程度;比较两组手掌肿胀程度及肢端发绀、肢体麻木发生情况;比较两组穿刺点前臂血肿与渗血情况;比较两组术前、手术回室、去除压迫器时舒适状况量表(GCQ)评分;记录两组并发症的发生情况;比较两组满意度。结果 整体分析发现:两组视觉模拟评分法(VAS)评分时间比较、组间比较及交互作用差异有统计学意义(P<0.05)。进一步两两比较,组内比较:两组各时间点VAS评分比较,差异有统计学意义(P<0.05);组间比较:术后2、4、6、24 h,试验组VAS评分低于对照组,差异有统计学意义(P<0.05)。试验组手掌肿胀程度及肢端发绀、肢体麻木发生率低于对照组,差异有统计学意义(P<0.05)。两组穿刺点渗血及前臂血肿比较,差异有统计学意义(P<0.05)。整体分析发现:两组GCQ评分时间比较、组间比较及交互作用差异有统计学意义(P<0.05)。进一步两两比较,组内比较:两组各时间点心理、生理、精神、社会文化及环境评分比较,差异有统计学意义(P<0.05);组间比较:试验组手术回室、去除压迫器时心理、生理、精神、社会文化及环境评分高于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。试验组总满意度高于对照组,差异有统计学意义(P<0.05)。结论 手指康复操联合中医点穴按摩可加快血液循环,缓解肿胀程度,促进肢体恢复,减少并发症的发生,提高满意度。Objective To explore the application of finger rehabilitation exercise combined with traditional Chinese medicine acupoint massage in patients undergoing transradial coronary interventional(TRI)surgery.Methods From June 2022 to October 2023,150 patients who underwent TRI treatment in Department of Cardiovascular Medicine,Wenzhou Central Hospital were selected.According to the random number table method,they were divided into control group and experimental group,with 75 cases in each group.The control group received traditional body exercise,and the experimental group received finger rehabilitation exercises combined with traditional Chinese medicine acupoint massage.The pain levels of two groups were compared before surgery and 2,4,6,24 h after surgery;the degree of palm swelling and the occurrence of acrocyanosis and limb numbness were compared between two groups;the conditions of forearm hematoma and errhysis were compared between two groups;the scores of general comfort questionnaire(GCQ)were compared before surgery,return to the observation room after surgery,and removal of the oppressor;the occurrence of complications in two groups were recorded;and the satisfaction of the two groups was compared.Results Overall analysis showed that there were statistically significant differences in visual analogue scale(VAS)score time comparison,inter-group comparison,and interaction between the two groups(P<0.05).Further pairwise comparison,intra-group comparison:VAS scores were compared between two groups at each time point,and the differences were statistically significant(P<0.05);comparison among groups:at 2,4,6,and 24 h after surgery,VAS score of experimental group were lower than those of control group,and the differences were statistically significant(P<0.05).The degree of palm swelling,and the incidence of acrocyanosis and limb numbness in experimental group were lower than those in control group,and the differences were statistically significant(P<0.05).There were statistically significant differences in forearm h

关 键 词：手指康复操 中医点穴按摩 经桡动脉冠状动脉介入 并发症 舒适度 

分 类 号：R473.5[医药卫生—护理学]