手指康复操训练对经桡动脉行冠脉造影患者肢体并发症的影响

Finger exercise reduces complications in patients undergoing transradial percutaneous coronary intervention

目的减轻经桡动脉行冠脉造影患者术后术侧肢体的肿胀、疼痛程度。方法将196例择期经桡动脉行冠脉造影的住院患者分为对照组99例与干预组97例。对照组术后予常规护理,干预组在对照组基础上进行手指康复操锻炼。观察两组手掌周径、疼痛程度、出血情况。结果干预组手掌周径(术后4、12 h)显著小于对照组,疼痛程度显著轻于对照组(P<0.05,P<0.01);两组出血程度比较,差异无统计学意义(P>0.05)。结论手指康复操锻炼可缓解经桡动脉行冠状动脉介入术患者术后术侧手部肿胀程度及疼痛感,不会增加穿刺点出血发生率。

Objective To evaluate the effect of finger exercise on relief of swelling and pain at the affected limb of patients undergoing transradial percutaneous coronary intervention(PCI). Methods A total of 196 patients receiving elective transradial PCI were assigned to a control group of 99 and an intervention group of 97. The control group was given conventional care, while the intervention group was subjected to finger exercise. The circumference of the palm, pain intensity and bleeding of the two groups were observed. Results The intervention group had a smaller circumference of the palm at postoperative 4 and 12 h and milder pain intensity compared with the control group(P<0.05,P<0.01). There was no significant difference in bleeding between the two groups(P>0.05). Conclusion Finger exercise could alleviate swelling and pain intensity of the surgical limb without increasing bleeding at radial assess site in patients undergoing percutaneous coronary.