中药热熨对冠状动脉支架植入术后患者术肢疼痛的延续性护理体会

Experience in Continuous Nursing Care of Patients with Operative Limb Pain after Percutaneous Coronary Intervention by Hot Ironing Therapy with Chinese Medicine

目的观察中药热熨在冠状动脉支架植入后术肢疼痛的延续性护理疗效。方法将在宿迁市中医院心内科行PCI治疗且出院时术肢疼痛患者36例,随机分为观察组20例及对照组16例,2组患者复诊时均指导患者进行术肢功能锻炼,对精神紧张、焦虑等患者进行心理疏导。对照组患者给予毛巾热敷术肢,观察组患者予中药打粉热敷术肢。观察2组患者VAS评分及临床疗效。结果出院后1周,观察组患者VAS较出院时组内比较,差异有统计学意义(P=0.000),对照组患者VAS评分较出院时组内比较差异无统计学意义(P=0.164),观察组患者VAS评分与对照组比较,差异有统计学意义(P=0.034);出院后2周,2组VAS评分较出院时组内比较,差异均有统计学意义(P=0.000),观察组患者VAS评分与对照组比较,差异有统计学意义(P=0.037)。观察组患者总有效率明显高于对照组(P<0.05)。结论中药热熨可明显缓解PCI术后患者术肢疼痛,且安全、易操作,可在临床推广普及。

Objective To observe the effect of continual nursing care of patients with operative limb pain after percutaneous coronary intervention by hot ironing therapy with Chinese medicine.Methods 36 patients who underwent PCI treatment in the department of cardiology of Suqian Hospital of Traditional Chinese Medicine and had operative limb pain at discharge,were randomly divided into an observation group of 20 cases and a control group of 16 cases.Both groups of patients were instructed to perform functional exercises of the operative limbs,and psychological counseling for patients with mental stress and anxiety.The patients in the control group were given towels to heat the limbs,and the patients in the observation group were given traditional Chinese medicine powder to heat the limbs.The VAS score and clinical efficacy of the two groups of patients was observed.Results One week after discharge,there was a statistically significant difference in VAS in the observation group at discharge(P=0.000).The VAS score of the control group was not significantly different from that at discharge(P=0.164).The VAS score of the observation group was compared with that of the control group,the difference was statistically significant(P=0.034).Two weeks after discharge,the difference in VAS between the observation group and the control group was statistically significant(P=0.000)in each other group.The observation group’s VAS score compared with the control group,the difference was statistically significant(P=0.037).The effective rate of patients in the observation group was significantly higher than that of the control group(P<0.05).Conclusion Hot ironing with traditional Chinese medicine can significantly relieve the pain of the operative limbs of patients after PCI,and is safe and easy to operate,and can be popularized in clinical practice.