针治疗完全改善了骨折的老年患者的心率变化指数
Alternative therapies in health and medicine
|November 2, 2023
概括
在Neiguan和Zusanli针点的针可以改善老年骨折患者的术后安全性. 这项研究观察到,在接受这种电治疗的患者中,心血管不良反应和心率变化减少.
科学领域:
- 老年医学 老年医学
- 心血管外科心血管外科
- 综合医学是一个整体医学.
背景情况:
- 接受手术的患有部或大腿骨折的老年患者面临外科手术期间心血管并发症的高风险.
- 标准的手术和麻醉方案可能无法完全减轻这些风险.
研究的目的:
- 研究针对经手术期间心率和心血管变化的影响,在患有部或大腿骨折的老年患者中.
- 在这个患者群体中评估电在特定针点的安全性和有效性.
主要方法:
- 120名患有部/大腿骨骨折的老年患者 (年龄大于70岁,ASA≥II) 被根据并发症 (H/N) 和并发症 (HS,HD,NS,ND) 分成组.
- 患者在麻醉前和手术后1-2天在双边Neiguan和Zusanli针点接受了电针.
- 在手术前和后记录了24小时动态心电图 (ECG) 监测,血压,心率,SPO2和心脏氧气消耗.
主要成果:
- 与没有 (N组) 的组相比,随病组 (H组) 的组内静脉血压和心肌氧消耗明显较低.
- 心率变化指数 (SDNN和三角指数) 在手术后的并发症组 (HS,HD) 与手术前和对照组相比显示出明显的变化.
- 术后SDNN和三角指数在并发症组 (HS,HD) 与无并发症组 (NS,ND) 相比较低,在HD组进一步减少.
结论:
- 在Neiguan和Zusanli针点的电疗法在改善骨折的老年患者的术后安全性方面显示了初步的有效性.
- 这种针治疗可能有助于减少术后期间心血管不良反应.
- 需要进一步的研究来证实这些发现,并优化骨折患者的电治疗方案.
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