摘要
目的:探讨改良术肢康复运动操在心血管介入术后患者中的应用效果。方法:采用方便抽样选取2018年7月-2019年6月在江西省某三级甲等医院心血管内科经桡动脉路径行心血管介入手术的患者200例及经股动脉路径行心血管介入手术的患者10例为研究对象。根据东西病区分为两组,东区100例经桡动脉路径、5例经股动脉路径为对照组,西区100例经桡动脉路径、5例经股动脉路径为试验组。比较经桡动脉路径和经股动脉路径的两组疼痛和麻木程度、睡眠情况、术侧手掌周径。结果:经桡动脉路径两组术后各时间点术肢手掌疼痛麻木情况比较,差异均有统计学意义(P<0.05);经桡动脉路径试验组各时间点的术肢手掌疼痛评分均低于对照组,差异均有统计学意义(P<0.05)。两组术后各时间点桡动脉术侧手掌周径比较,差异均有统计学意义(P<0.05)。试验组各时间点桡动脉术侧手掌周径均低于对照组,差异均有统计学意义(P<0.05)。经桡动脉路径和经股动脉路径的试验组患者睡眠情况均优于对照组,差异均有统计学意义(P<0.05)。经股动脉路径两组术后新发出血、血肿情况比较,差异均无统计学意义(P>0.05)。经股动脉路径两组下肢均无深静脉血栓形成。结论:改良心血管介入术后术肢康复运动操能明显减少心血管介入术后患者的术肢疼痛、肿胀、麻木、关节僵硬等不良反应的发生,改善患者术后睡眠,减轻患者痛苦,而且宜教易学,容易推广。
Objective:To investigate the application effect of improved limb rehabilitation exercise in patients after cardiovascular intervention.Method:A total of 200 patients who underwent cardiovascular interventional surgery via radial artery and 10 patients who underwent cardiovascular interventional surgery via femoral artery in the department of cardiovascular Medicine of a gradeⅢfirst-class hospital in Jiangxi Province from July 2018 to June 2019 were selected as the research objects.They were divided into two groups according to the eastern and western wards,in the eastern region,100 cases were via radial artery,and 5 cases were via femoral artery as the control group,in the western region,100 cases were treated by radial artery route and 5 cases by femoral artery route as the experimental group.The degree of pain and numbness,sleep,and perioperative palm-diameter were compared between the radial and femoral routes of the two groups.Result:Comparison of palmpain and numbness of operative limb at each time point after transradial artery route between the two groups,the differences were statistically significant(P<0.05).The scores of palm-pain of the operative limb at all time points in the radial artery pathway experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Comparison of the peripalmal diameter of the radial artery at each time point after operation between the two groups,the differences were statistically significant(P<0.05).The palm-circumference diameter of the radial artery operation side in the experimental group were lower than those of the control group at all time points,the differences were statistically significant(P<0.05).The sleep condition of patients in the experimental group through radial artery and femoral artery were better than those in the control group,the differences were statistically significant(P<0.05).Comparison of postoperative newly emitted blood and hematoma between the two groups via femoral artery route,the differe
作者
肖燕
陈颖
黄年华
XIAO Yan;CHEN Ying;HUANG Nianhua(Ganzhou Municipal Hospital,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2020年第21期102-107,共6页
Medical Innovation of China
基金
赣州市指导性科技计划项目(GZ2018ZSF446)。
关键词
心血管介入治疗
康复运动操
疼痛
肿胀
麻木
Cardiovascular intervention
Rehabilitation exercise
Pain
Swelling
Numbness
