针治疗对冠状动脉血管造影后疼痛水平和血液动力学参数的影响:一项随机对照研究
Barış Düzel1, Tuğba Çam Yanik2, Canan Kanat2
1Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye.
Frontiers in cardiovascular medicine
|July 31, 2023
概括
针治疗有效地减少了冠状动脉血管造影后的疼痛. 虽然它改善了透静血压和呼吸率,但它没有显著影响其他血液动力学参数. 建议进行进一步的研究.
科学领域:
- 心脏病学 心脏病学
- 疼痛管理 疼痛管理
- 综合医学是一个整体的医学.
背景情况:
- 冠状动脉扫描可以导致患者疼痛,通常通过预防出血的干预措施来管理.
- 在血管造影后评估疼痛和血液动力学变化对于患者护理至关重要.
研究的目的:
- 调查针治疗对接受冠心血管造影的患者疼痛水平和血液动力学参数的影响.
主要方法:
- 一项前性随机对照试验包括124名接受冠状动脉血管造影的患者.
- 干预组接受了对特定点 (LI4,PC6,LI11) 的针按压15分钟,手术后2小时.
- 在针前后监测疼痛 (VAS) 和血液动力学参数 (SBP,DBP,HR,RR,SpO2).
主要成果:
- 患者在血管造影后经历了中度疼痛.
- 与对照组相比,针显著降低了视觉模拟尺度 (VAS) 疼痛评分,直接在干预后和干预后长达30分钟.
- 针在20分钟和30分钟后显著增加了透气血压 (DBP) 和呼吸速率 (RR),但没有影响SBP,HR或SpO2.
结论:
- 针治疗有效缓解冠状动脉血管学术后的疼痛.
- 针治疗对DBP和RR有显著影响,但对其他测量的血液动力学参数没有显著影响.
- 由于该试验的单一中心性质和短时间,建议进行更长时间的后续研究.
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