电脑中频理疗联合中医手法按摩在预防主动脉内球囊反搏术后下肢循环障碍中的应用效果

The Application Effect of Computerized Intermediate Frequency Physiotherapy Combined with Traditional Chinese Medicine Manipulation Massage in Preventing Lower Extremity Circulatory Disorders after Intra-aortic Balloon Pump

目的:探讨电脑中频理疗联合中医手法按摩在预防主动脉内球囊反搏(IABP)术后患者下肢循坏障碍中的应用效果。方法:选取2020年12月—2021年12月江西省人民医院心血管内科收治的IABP术后患者60例为观察对象,采用随机数字法分为对照组与观察组,各30例。对照组采用常规治疗护理,观察组采用电脑中频理疗联合中医手法按摩。比较两组患者置管当天、置管第2天、置管第4天及拔管后第2天置管侧下肢血液循环指标。结果:置管当天及拔管第2天,两组置管侧下肢循环综合指标比较,差异无统计学意义(P>0.05);置管第2天,观察组主观感受评分高于对照组,差异有统计学意义(P=0.001);置管第4天,观察组皮肤颜色、足背动脉(触诊、多普勒)及主观感受评分均高于对照组,下肢周径小于对照组,差异有统计学意义(P<0.05)。结论:中频理疗联合中医手法按摩可改善IABP术后患者置管侧下肢的血液循环,有效预防下肢循环障碍,提高患者舒适度。

Objective:To explore the application effect of computerized intermediate frequency physiotherapy combined with tradi-tional Chinese medicine(TCM)manipulative massage in preventing lower extremity circulation disorders in patients after intra-aortic balloon pump(IABP).Methods:Sixty postoperative IABP patients admitted to the Department of Cardiovascular Internal Medicine of Jiangxi Provincial People's Hospital from December 2020 to December 2021 were selected as observation objects,and were divided into the control group and the observation group,each with thirty cases,by using the random number method.The con-trol group was treated with conventional therapeutic care,and the observation group was treated with computerized intermediate fre-quency physiotherapy combined with traditional Chinese medicine manipulative massage.The blood circulation indexes of the lower extremity on the tube placement side were compared between the two groups on the day of tube placement,the second day of tube placement,the fourth day of tube placement and the second day of tube removal.Results:On the day of tube placement and the 2nd day of tube removal,the differences between the two groups in the comprehensive indexes of lower extremity circulation on the side of tube placement were not statistically significant(P>0.05);On the 2nd day of tube placement,the subjective feeling score of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.001);On the 4th day of tube placement,the skin color,dorsalis pedis artery(palpation,Doppler)and subjective feelings scores of the observation group were higher than those of the control group,and the circumference of the lower limbs was smaller than that of the control group,with a statistically significant difference(P<0.05).Conclusion:Intermediate frequency physiotherapy combined with tradi-tional Chinese medicine manipulative massage can improve the blood circulation of the lower limbs on the side of tube placement in postoperative patients with IABP,effectively prevent circulatory disorders of the lower limbs,and improve the comfort of patients.