活血化瘀散外敷护理PCI术后并发肢体肿胀的临床效果

Clinical effect of external application of Huoxue Huayu powder in nursing patients with limb swelling after PCI

目的 探讨在PCI术后并发肢体肿胀患者护理中,应用活血化瘀散外敷的临床效果。方法 选取2020年1月—2022年2月在医院心内科行PCI术并发穿刺侧肢体肿胀患者80例为研究对象,按照组间基本特征具有可比性的原则将其分为观察组和对照组,各40例。对照组在常规护理的基础上采用硫酸镁外敷干预,观察组采用活血化瘀散外敷干预,均持续3 d。比较两组临床疗效、症状改善时间(肿胀改善时间、疼痛消失时间)、治疗后24 h、72 h疼痛视觉模拟评分法(VAS)情况和不良反应发生情况。结果 采用活血化瘀散外敷护理干预后,观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组肿胀改善时间、疼痛消失时间均短于对照组,差异有统计学意义(P<0.05);观察组治疗24 h、72 h后VAS评分均低于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未发生不良反应。结论 对PCI术后并发肢体肿胀患者采用活血化瘀散外敷护理干预,可发挥活血散瘀、消肿止痛的作用,缩短症状改善时间,减轻患者肢体肿胀症状。

Objective To explore the clinical effect of external application of Huoxue Huayu powder in the nursing of patients with limb swelling after PCI. Methods 80 patients underwent PCI in the department of cardiology from January 2020 to February 2022 were selected as the study objects, they were divided into observation group and control group according to the principle of comparable basic characteristics between groups, with 40 cases in each group. The control group used external application of magnesium sulfate on the basis of routine care, the observation group given the external application of promoting blood circulation and removing blood stasis and dispersing, all lasting for 3 days. Compared clinical efficacy, symptom improvement time(swelling improvement time and pain disappearance time), pain at 24 h and 72 h after treatment visual analogue scale(VAS)and adverse effects. Results After the intervention, the total effective rate of treatment in the observation group was higher than the control group, the difference was statistically signifcant(P<0.05);The swelling improvement time and pain disappearance time in the observation group were shorter than the control group, the difference was statistically signifcant(P<0.05);The VAS score of the observation group was lower than the control group after 24 h and 72 h of treatment, the difference was statistically significant(P<0.05). No adverse reactions occurred during treatment in both groups. Conclusion External application of Huoxue Huayu powder for nursing intervention of patients with limb swelling after PCI played the role of promoting blood circulation and removing stasis, reducing swelling and pain, shorten the time for symptom improvement, and reduce the symptoms of limb swelling.