肌肉收缩和舒张活动预防献血相关血管迷走神经反应的效果研究  

Effect of Muscle Contraction and Relaxation Activities on the Prevention of Vasovagal Responses Associated with Blood Donation

作　　者：赵桂容 胡杏兰 谭莉斯 Zhao Guirong;Hu Xinglan;Tan Lisi(Foshan Central Blood Station Sanshui Blood Station,Foshan 528199,Guangdong Province,China)

机构地区：[1]佛山市中心血站三水血站,广东佛山528199

出　　处：《中外医药研究》2024年第32期52-54,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析肌肉收缩和舒张活动(AMT)预防献血相关血管迷走神经反应(VVR)的效果。方法:选取2022年7月—2023年7月佛山市中心血站三水血站接收的初次献血易发VVR志愿者60名进行研究,应用随机数字表法分为对照组和研究组,每组30名。对照组采用常规照护联合血液扩容,研究组在对照组基础上联合AMT。比较两组收缩压、舒张压、心率指标、焦虑自评量表(SAS)评分及VVR发生率、再次献血意愿。结果:献血前及献血后30 min,两组收缩压、舒张压、心率水平对比,无统计学差异(P>0.05);研究组献血中、献血后SAS评分均低于对照组(P<0.05);献血中及献血后1、5、10 min,研究组VVR发生率均低于对照组(P<0.05);研究组再次献血意愿高于对照组(P=0.002)。结论:对于献血志愿者,献血前实施AMT对于预防献血相关VVR有较好的效果,可以降低VVR发生率,改善献血者焦虑情绪,并提升后续献血意愿。Objective:To analyze the effect of muscle contraction and diastolic activity(AMT)on the prevention of vasovagal response(VVR)associated with blood donation.Methods:A total of sixty VVR volunteers susceptible to initial blood donation received from Foshan Central Blood Station Sanshui Blood Station from July 2022 to July 2023 were selected for the study.They were divided into control group and study group by random number table method,with thirty volunteers in each group.The control group received routine nursing combined with blood dilatation,and the study group was combined with AMT based on the control group.Systolic blood pressure,diastolic blood pressure,heart rate,self-rating anxiety scale(SAS)score,VVR incidence,and willingness to donate blood again were compared between the two groups.Results:There were no significant differences in systolic blood pressure,diastolic blood pressure and heart rate between the two groups before and 30 min after blood donation(P>0.05);the SAS scores of the study group during and after blood donation were lower than those of the control group(P<0.05);during blood donation and 1,5,10 min after blood donation,the incidence of VVR in the study group was lower than that in the control group(P<0.05);the study group was more willing to donate blood again than the control group(P=0.002).Conclusion:For blood donation volunteers,the implementation of AMT before blood donation has a good effect on the prevention of VVR related to blood donation,which can reduce the incidence of VVR,improve the anxiety of blood donors,and enhance the willingness of subsequent blood donation.

关 键 词：血管迷走神经反应 肌肉收缩和舒张活动 献血 

分 类 号：R457.1[医药卫生—治疗学]