| 邓露双.五音疗法联合经络梳理对降低冠脉介入诊疗中桡动脉穿刺后血管痉挛和迷走反射的临床研究[J].上海护理,2023,23(8): |
| 五音疗法联合经络梳理对降低冠脉介入诊疗中桡动脉穿刺后血管痉挛和迷走反射的临床研究 |
| Clinical study of five-tone therapy combined with meridians combing to reduce vasospasm and vagal reflex after radial artery puncture in coronary interventional therapy |
| DOI： |
| 中文关键词: 冠脉介入诊疗 桡动脉穿刺 五音疗法 经络梳理 血管痉挛 迷走反射 |
| 英文关键词:coronary interventional diagnosis Radial artery puncture Five-tone therapy Meridian combing Vasospasm Vagal reflex |
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| 中文摘要: |
| 目的 探讨五音疗法联合经络梳理对降低冠脉介入诊疗中桡动脉穿刺后血管痉挛和迷走反射的临床价值。方法 选取2020年3月-2022年7月于江西中医药大学附属医院心血管科经桡动脉穿刺冠脉介入诊疗的患者100例，采用随机数字表法分为2组，即对照组、观察组，分别50例，对照组进行常规护理，基于此，观察组进行五音疗法联合经络梳理干预；比较两组动脉穿刺后血管痉挛[桡动脉痉挛（RAS）、冠状动脉痉挛（CAS）]、迷走反射的发生率；并记录两组血管活性药物应用比例（主要包括多巴胺注射液、阿托品、硝酸甘油等）。结果 观察组血管痉挛发生率为6.00%，低于对照组的20.00%；且观察组迷走反射发生率为4.00%，低于对照组的18.00%，有统计学差异（P＜0.05）；观察组血管活性药物总使用率为10.00%，低于对照组的26.00%，有统计学差异（P＜0.05）。观察至介入术后6h，两组患者精神状态良好，呼吸未见明显变化，均未出现心律不齐、意识不清晰等情况。结论 五音疗法联合经络梳理能够降低冠脉介入诊疗中桡动脉穿刺后血管痉挛和迷走反射发生率，减少血管活性药物使用率。 |
| 英文摘要: |
| Objective To investigate the clinical value of five-tone therapy combined with meridians combing in reducing vasospasm and vagal reflex after radial artery puncture in coronary interventional treatment. Methods A total of 100 patients receiving coronary interventional treatment via radial artery puncture in the cardiovascular Department of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from March 2020 to July 2022 were selected and divided into two groups by random number table method, namely the control group and the observation group, 50 cases respectively. The control group received routine nursing. Based on this, the observation group received five-tone therapy combined with meridians combing intervention. The incidence of vasospasm (RAS), coronary spasm (CAS) and vagal reflex after arterial puncture were compared between the two groups. The application ratio of vasoactive drugs (mainly including dopamine injection, atropine, nitroglycerin, etc.) was recorded between the two groups. Results The incidence of vasospasm in observation group was 6.00%, which was lower than that in control group (20.00%). The incidence of vagal reflex in the observation group was 4.00%, lower than that in the control group (18.00%), with statistical difference (P < 0.05). The total utilization rate of vasoactive drugs in the observation group was 10.00%, which was lower than 26.00% in the control group, with statistical difference (P < 0.05). Six hours after the intervention, the two groups of patients were in good mental state, no significant changes in breathing, arrhythmia, unclear consciousness and other conditions. Conclusion Five-tone therapy combined with meridian combing can reduce the incidence of vasospasm and vagal reflex after radial artery puncture and reduce the utilization rate of vasoactive drugs in coronary interventional therapy. |
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