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Received:March 01, 2021 Published Online:February 20, 2022
Received:March 01, 2021 Published Online:February 20, 2022
中文摘要: 目的 研究超早期进行手指锻炼在预防经桡动脉行冠状动脉介入术(PCI)后行弹力绷带压迫止血患者术后手指肿胀的效果。方法 选取南京江北医院2019年12月至2020年6月经桡动脉行PCI患者207例,随机分为对照组、干预A组和干预B组,每组69例,对照组术后采用传统护理方法,干预A组术后30 min开始进行手指操锻炼,干预B组术后回病房立即进行手指操锻炼,术后6 h观察3组患者手指肿胀程度。结果 3组术后手指肿胀发生率、手指肿胀程度比较差异有统计学意义(P<0.01),干预B组优于干预A组和对照组。PCI术后6 h内,3组PCI术后出血程度比较差异无统计学意义(P>0.05)。结论 术后回病房立即进行手指锻炼可减轻术后手指肿胀,不会增加术后局部出血风险,提高患者舒适度。
Abstract:Objective To study the effect of ultra-early finger exercise on the prevention of finger swelling in patients undergoing hemostasis by elastic bandage compression after transradial coronary intervention (TRI).Methods A total of 207 patients receiving TRI from December 2019 to June 2020 at Nanjing Jianbei Hospital were randomly divided into control group, intervention group A and intervention group B (n=69, each). The traditional nursing was conducted in control group. Finger exercises began 30 minutes after operation in intervention group A and were performed immediately after the patients returned to the ward in intervention group B. The degree of finger swelling was observed and compared 6 hours after operation among three groups. Results There was significantly difference in the degree of finger swelling among three groups(P<0.01). In controlling the swelling degree, the effect in intervention group B was best, followed by intervention group A and control group. There was no significanct difference in postoperative bleeding among three groups (P>0.05). Conclusion Immediate finger exercise after returning to the ward can reduce postoperative finger swelling, and improve the comfort of patients without increasing the risk of postoperative local bleeding.
文章编号: 中图分类号:R473.5 文献标志码:B
基金项目:南京市医学科技发展项目(YKK21214)
Author Name | Affiliation |
CAO Wen-mei, YANG Yan-ping, LU Yu-rong | Department of Cardiology, Nanjing Jiangbei Hospital Affiliated to Nantong Unicersity, Nanjing, Jiangsu 210048, China |
Author Name | Affiliation |
CAO Wen-mei, YANG Yan-ping, LU Yu-rong | Department of Cardiology, Nanjing Jiangbei Hospital Affiliated to Nantong Unicersity, Nanjing, Jiangsu 210048, China |
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