穴位按摩联合生姜汁含服在行射频消融术的心房颤动患者中的应用效果

Application effect of acupoint massage combined with ginger juice buccal administration in patients with atrial fibrillation undergoing radiofrequency ablation

目的探讨行射频消融术治疗的心房颤动(简称“房颤”)患者接受穴位按摩联合生姜汁含服后,对其因食管损伤导致的恶心、呕吐的影响。方法2021年4月至2022年4月,按随机数字表法将徐州医科大学附属医院收治的112例房颤患者分为对照组和观察组,各56例。对照组给予常规护理及生姜汁含服,观察组基于常规护理及生姜汁含服给予穴位按摩。比较2组患者在干预前后的恶心及呕吐症状严重程度、睡眠质量和生活质量,以及干预2周内的不良事件发生率。结果干预2周后,2组的中文版恶心呕吐干呕症状评估量表各维度(恶心、干呕和呕吐)评分以及匹兹堡睡眠质量指数量表各维度评分及总分均较干预前降低(P均<0.05),且观察组均低于对照组(P均<0.05)。观察组在术后2周内的不良事件总发生率比对照组低(P<0.05)。干预2周后,2组的房颤特异生活质量量表各维度评分均较干预前升高(P均<0.05),且观察组均高于对照组(P均<0.05)。结论穴位按摩联合生姜汁含服能够缓解房颤患者行射频消融术后食管损伤相关的恶心、呕吐等症状,同时还能减少术后不良事件的发生,改善患者的睡眠质量和生活质量。

Objective To explore the effect of acupoint massage combined with ginger juice buccal administration on nausea and vomiting caused by esophageal injury in patients with atrial fibrillation treated by radiofrequency ablation.Methods According to the random number table method,a total of 112 patients with atrial fibrillation admitted to the Affiliated Hospital of Xuzhou Medical University from April 2021 to April 2022 were divided into a control group and an observation group using a random number table method,with 56 patients in each group.The control group received routine care and ginger juice buccal administration,while the observation group received acupoint massage based on routine care and ginger juice buccal administration.The severity of nausea and vomiting,sleep quality,and quality of life before and after intervention were compared between the two groups,as well as the incidence of adverse events within 2 weeks of intervention.Results After 2 weeks of intervention,the scores of all dimensions(nausea,retching,and vomiting)of the Chinese version of Index of Nausea and Vomiting and Retching scale,as well as the scores of all dimensions and total scores of the Pittsburgh Sleep Quality Index scale in both groups decreased compared to before intervention(all P<0.05),and the above scores were lower in the observation group than in the control group(all P<0.05).Within 2 weeks after surgery,the total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).After 2 weeks of intervention,the scores of all dimensions of the Atrial Fibrillation Effect on Quality-of-life scale in both groups increased compared to before intervention(all P<0.05),and the above scores were higher in the observation group than in the control group(all P<0.05).Conclusion Acupoint massage combined with ginger juice buccal administration can alleviate symptoms such as nausea and vomiting related to esophageal injury in patients with atrial fibrillation after radiofrequency ablation.At the same time,it can reduce the occurrence of postoperative adverse events and improve the quality of sleep and life of patients.