首页|期刊导航|上海护理|经穴推拿促进经桡动脉行经皮冠脉介入术后术肢康复的效果

经穴推拿促进经桡动脉行经皮冠脉介入术后术肢康复的效果OA

Effects of Acupoint Massage on Promoting Affected Limb Rehabilitation after Transradial Percutane-ous Coronary Intervention

中文摘要英文摘要

目的 探讨经穴推拿促进经桡动脉行经皮冠脉介入(PCI)患者术侧肢体康复的效果.方法 选取2023年9-12月收治于上海中医药大学附属岳阳中西医结合医院心内科经桡动脉行PCI治疗的160例冠状动脉硬化性心脏病患者为研究对象,采用1∶1随机化分组分为试验组和对照组,每组各80例.对照组术后采用常规护理,试验组在常规护理基础上联合经穴推拿,比较两组患者术后肢体疼痛程度、术侧手掌周径及术侧肢体并发症发生率.结果 术后2 h、7 h及24 h,试验组疼痛评分均低于对照组,术侧手掌周径均较对照组明显缩小,术侧肢体瘀斑发生率均低于对照组,差异均有统计学意义(均P<0.05).结论 经穴推拿可有效减轻经桡动脉行PCI术后患者的术侧肢体疼痛与肿胀、降低瘀斑发生率,缓解患者术后不适,有利于促进患者术后肢体康复.

Objective To explore the effects of acupoint massage on promoting affected limb rehabilitation after transradial percutaneous coronary intervention(PCI).Methods A total of 160 patients with coronary arteriosclerotic heart disease were selected.All of them had received transradial PCI at the Cardiology Department of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine from September to December 2023.They were randomly divided(1∶1)into the test group(n=80)and the control group(n=80).The control group received routine postoperative care,while the test group additionally received acupoint massage.The degree of postoperative limb pain,the palm circumference in affected limbs,and the complication incidence in affected limbs were compared between the two groups.Results At 2 h,7 h and 24 h postoperative,the test group showed significantly lower pain scores,significantly smaller palm circumference in affected limbs,and significantly lower ecchymosis incidence in affected limbs than the control group(P<0.05 for all).Conclusion Acupoint massage reduces pain and swelling in affected limbs,lowers the incidence of ecchymosis,alleviates patient discomfort and promotes limb rehabilitation after transradial PCI.

潘慧璘;管颖;樊民

上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437

医药卫生

经皮冠状动脉介入术桡动脉肢体经穴推拿康复疼痛并发症

Percutaneous coronary interventionRadial arteryLimbAcupoint massageRehabilitationPainComplication

《上海护理》 2026 (1)

21-24,4

中国中医药科技发展中心中西医协同慢病管理研究项目(CXZH202419).

10.3969/j.issn.1009-8399.2026.01.005

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