超早期手指操对心梗介入术后患者手指肿胀发生率、手指肿胀程度的影响  

The effect of ultra early finger exercises on the incidence and degree of finger swelling in patients after interventional procedure for myocardial infarction

作　　者：林彬彬 LIN Bin-bin(Cardiovascular Department,Xiamen Third Hospital,Xiamen 361100,China)

机构地区：[1]厦门市第三医院心血管内科,361100

出　　处：《中国现代药物应用》2024年第17期167-170,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 探讨超早期手指操对心梗(心肌梗死)介入术后患者手指肿胀发生率、手指肿胀程度的影响。方法 选择108例心梗患者,根据随机数字表法将患者分为观察组和对照组,各54例。对照组患者介入术后采用常规护理干预,观察组患者介入术后采用超早期手指操干预。比较两组患者视觉模拟评分法(VAS)评分,手指肿胀发生率,手指肿胀程度,干预前后的血液粘度、血浆粘度、红细胞比容、红细胞聚集指数。结果 观察组患者术后6 h的VAS评分(2.50±0.34)分明显低于对照组的(4.02±0.41)分(P<0.05)。观察组患者手指肿胀发生率29.63%明显低于对照组的48.15%(P<0.05);观察组患者手指肿胀程度均明显低于对照组(P<0.05)。干预后,两组患者的血液流变学指标水平均明显低于本组干预前,且观察组患者干预后血液粘度、血浆粘度、红细胞比容、红细胞聚集指数分别为(4.65±0.32)mPa·s、(1.70±0.08)mPa·s、(0.36±0.05)、(4.01±0.62),均明显低于对照组的(4.91±0.67)mPa·s、(1.83±0.10)mPa·s、(0.42±0.12)、(4.33±0.75)(P<0.05)。结论 超早期手指操能降低心梗介入术后患者手指肿胀发生率、手指肿胀程度,改善血液流变学水平,值得推广。Objective To explore the effect of ultra early finger exercises on the incidence and degree of finger swelling in patients after interventional procedure for myocardial infarction.Methods 108 patients with myocardial infarction were selected.According to a random number table,the patients were divided into an observation group and a control group,with 54 cases in each group.The control group received routine nursing intervention after intervention,while the observation group received ultra early finger exercise after intervention.Comparison on visual analogue scale(VAS) score,incidence of finger swelling,degree of finger swelling,blood viscosity,plasma viscosity,hematocrit and red blood cell aggregation index before and after intervention between the two groups.Results The VAS score of the observation group at 6 h after surgery was(2.50±0.34) points,which was significantly lower than(4.02±0.41) points of the control group(P<0.05).The incidence of finger swelling was 29.63% in the observation group,which was significantly lower than 48.15% in the control group(P<0.05).The degree of finger swelling in the observation group was significantly lower than that in the control group(P<0.05).After intervention,the level of hemorheological indicators in both groups was significantly lower than those before intervention;the blood viscosity,plasma viscosity,hematocrit and red blood cell aggregation index in the observation group were(4.65±0.32) mPa·s,(1.70±0.08) mPa·s,(0.36±0.05) and(4.01±0.62),which were significantly lower than(4.91±0.67) mPa·s,(1.83±0.10) mPa·s,(0.42±0.12) and(4.33±0.75)in the control group(P<0.05).Conclusion Ultra early finger exercises can reduce the incidence and degree of finger swelling in patients after interventional procedure for myocardial infarction,improve hemorheological levels,and is worth promoting.

关 键 词：心肌梗死 介入术 超早期手指操 手指肿胀 

分 类 号：R542.22[医药卫生—心血管疾病]