基于中医体质辨识的穴位按摩在冠状动脉旁路移植术患者围术期的应用OA
Application of acupoint massage based on traditional Chinese medicine constitution identification in the perioperative period of patients undergoing coronary artery bypass grafting
目的 探讨基于中医体质辨识的穴位按摩在冠状动脉旁路移植术(coronary artery bypass grafting,CABG)患者围术期的应用效果.方法 采用便利抽样法选取2025年6～8月某三级甲等医院冠状动脉旁路移植术患者158例,选择同一组医生的两个心脏外科病区作为干预组和对照组,每组各79例,进行实用性整群对照试验.对照组实施常规西医护理;干预组在常规护理基础上实施基于中医体质辨识的穴位按摩.比较两组患者在术前、出院时和出院后1个月的出汗[视觉模拟评分法(visual analogue scale/score,VAS)]、睡眠[匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)]、生活自理能力[日常生活活动能力评分(activities of daily living,ADL)],以及患者出院后参加康复治疗的情况.结果 干预组患者在出院时的出汗、睡眠、生活自理能力得分分别为0.76±1.41、6.29±2.97、76.14±11.57,均优于对照组患者的得分(1.56±1.77、8.39±3.64、70.82±10.81),差异有统计学意义(P<0.05).在出院1个月时的出汗、睡眠、生活自理能力得分分别为0.70±1.05、7.01±3.63、91.16±6.85,优于对照组患者的得分(1.34±2.15、7.76±5.11、88.40±6.32),差异有统计学意义(P<0.05).出院后干预组患者接受康复治疗的比例高于对照组,差异有统计学意义(P=0.001 8).基于中医体质辨识的穴位按摩对于患者术后出汗、睡眠、自理能力具有中等偏大效应,效应值分别是0.586、0.794、0.773,且具有统计学意义(P<0.05).结论 基于中医体质辨识的穴位按摩可以改善冠状动脉旁路移植术后患者的出汗、睡眠状态及生活自理能力.
Objective To explore the perioperative application effect of acupoint massage based on traditional Chinese medicine(TCM)constitution identification in patients undergoing coronary artery bypass grafting(CABG).Methods A convenience sampling method was used to select 158 patients undergoing CABG in a tertiary first-class hospital from June to August 2025.Two cardiac surgery wards of the same group of physicians were chosen as the intervention group and the control group,with 79 patients in each group,conducting a pragmatic cluster controlled trial.The control group received routine Western medical nursing care;the intervention group received acupoint massage based on TCM constitution identification in addition to routine nursing care.The two groups were compared in terms of sweating[visual analogue scale/score(VAS)],sleep[ittsburgh sleep quality index(PSQI)],and activities of daily living(ADL)before surgery,at discharge,and one month after discharge,as well as the rate of participation in rehabilitation therapy after discharge.Results At discharge,the scores for VAS,PSQI,and ADL in the intervention group were 0.76±1.41,6.29±2.97,and 76.14±11.57,respectively,all better than those in the control group(1.56±1.77,8.39±3.64,and 70.82±10.81),with statistically significant differences(P<0.05).At one month after discharge,the scores for VAS,PSQI,and ADL in the intervention group were 0.70±1.05,7.01±3.63,and 91.16±6.85,respectively,better than those in the control group(1.34±2.15,7.76±5.11,and 88.40±6.32),with statistically significant differences(P<0.05).The proportion of patients receiving rehabilitation therapy after discharge was higher in the intervention group than in the control group,with a statistically significant difference(P=0.001 8).Acupoint massage based on TCM constitution identification showed moderately large effects on postoperative VAS,PSQI,and ADL,with effect sizes of 0.586,0.794,and 0.773,respectively,all statistically significant(P<0.05).Conclusions Acupoint massage based on TCM constitution identification can improve sweating,sleep status,and activities of daily living in patients after coronary artery bypass grafting.
高瑞雪;李志颖;张莹;何媛;陈秀梅;李党香
首都医科大学附属北京安贞医院护理部(北京 100029)首都医科大学附属北京安贞医院心内科(北京 100029)首都医科附属北京安贞医院中医科(北京 100029)首都医科大学附属北京安贞医院心外科(北京 100029)首都医科大学附属北京安贞医院心外科(北京 100029)首都医科大学附属北京安贞医院护理部(北京 100029)
医药卫生
中医体质辨识穴位按摩冠状动脉旁路移植术围术期
TCM constitution identificationacupoint massagecoronary artery bypass graftingperioperative period
《北京生物医学工程》 2026 (3)
291-298,8
中医药管理局"中西医协同慢病管理研究"基金(XZH2024166)资助
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