穴位按摩对冠心病介入手术患者生命体征影响的研究

摘要

目的 探究穴位按摩对冠心病介入手术患者生命体征的影响.方法 选取2014年1月~~2016年6月在宁波市第二医院接受治疗的128名冠心病介入手术患者,按照随机数表法将患者分为观察组和对照组,每组各64名患者.对对照组患者进行传统手术方法治疗,术后康复期接受常规治疗,观察组患者在对照组的基础上给予穴位按摩.比较2组患者的肝肾功能指标、凝血功能、血常规、心率和血压.结果 观察组收缩压为(152.98±18.35)mmHg、舒张压为(92.83±17.28)mmHg、心率为(79.4±11.7)次/min;对照组收缩压为(143.26±17.26)mmHg,舒张压为(82.65±13.17)mmHg,心率为(71.9±12.1)次/min,2组差异比较具有统计学意义(P<0.05);对照组TBIL为(9.36±3.71)umol·L-1,DBIL为(4.01±1.14)umol·L-1,TP为(53.23±7.29) g·L-1,ALB为(32.10±3.17) g·L-1,BUN为(4.23±1.32) mmol·L-1,低于观察组患者中TBIL、DBIL、TP、ALB的含量,差异具有统计学意义(P<0.05);观察组血常规中WBC、PLT含量高于对照组,凝血指标中观察组PTA、FIB指标高于对照组,PT、APTT、TT指标低于对照组,差异均具有统计学意义(P<0.05).结论 穴位按摩能够有效保护患者的肝肾功能和凝血功能,降低血压和心率,缓解患者紧张焦虑感,减少患者的康复时间.%Objective To investigate the effect of acupoint massage on vital signs in patients undergoing percutaneous coronary intervention surgery.Methods128 patients underwent percutaneous coronary intervention surgery from January 2014 to June 2016 were divided into the observation group and the control group according to the random number table, 64 cases in each group.The control group were given traditional surgery,and received routine treatment at postoperative rehabilitation period.At the basis of this, the observation group were given acupoint massage.The liver and kidney function indexes, coagulation function, blood routine, heart rate and blood pressure in the two groups were compared.ResultsThe systolic blood pressure was (142.98±18.35mmHg, the diastolic blood pressure was (92.83±17.28) mmHg and the heart rate was (79.4±11.7) times/min in the observation group;the systolic blood pressure was (143.26±17.26) mmHg, the diastolic blood pressure was (82.65 ± 13.17) mmHg and the heart rate was (71.9±12.1) times/min in the control group, the differences in the two groups was statistically significant(P<0.05).The TBIL of the control group was (9.36±3.71)umol·L-1, DBIL was (4.01±1.14)umol·L-1, TP was (53.23±7.29) g·L-1, and the difference was statistically significant (P<0.05, ALB was (32.10±3.17) g·L-1 and BUN was (4.23 ± 1.32) mmol·L-1, which was lower than that of TBIL, DBIL, TP and ALB in the observation group (P<0.05) The levels of PTA and FIB in the observation group were higher than those in the control group.The levels of PT, APTT and TT were lower than those in the control group, the difference was statistically significant (P<0.05).ConclusionAcupoint massage can effectively enhance the liver and kidney function and coagulation function, reduce the blood pressure and heart rate of patients, relieve anxiety and reduce the recovery time of patients.