蔡丽欣 裴丽娇 简钢仁 程晔 陈佩兰

【摘要】 目的：探讨经鼻烟壶行PCI术的患者术后应用改良式手指操的护理效果。方法：将100例不稳定性心绞痛或急性心肌梗死患者分成两组，均采用经鼻烟壶PCI手术，对照组（n=50）患者术后进行手指操训练，观察组（n=50）患者术后进行改良式手指操训练。结果：观察组术后30 min、2 h及4 h手掌周径小于对照组，术后4 h及24 h的VAS评分低于对照组，护理服务满意度显著高于对照组（P<0.05）。结论：应用经鼻烟壶皮冠PCI治疗的患者术后进行改良式手指操训练效果确切。

【关键词】 改良式手指操 鼻烟壶 PCI手术

doi：10.14033/j.cnki.cfmr.2020.20.033 文献标识码 B 文章编号 1674-6805（2020）20-00-03

Analysis of Nursing Effect of Modified Finger Exercise in PCI after Snuff Bottle Operation/CAI Lixin， PEI Lijiao， JIAN Gangren， CHENG Ye， CHEN Peilan. //Chinese and Foreign Medical Research， 2020， 18（20）： -86

[Abstract] Objective： To explore the nursing effect of modified finger exercise in patients undergoing PCI through snuff bottle. Method： A total of 100 patients with unstable angina or acute myocardial infarction were divided into two groups. The patients in the two groups were treated with PCI via snuff bottle. The patients in the control group （n=50） were treated with hand and finger exercises， and the patients in the observation group （n=50） were treated with modified hand and finger exercises. Result： The palm circumference of the observation group at 30 minutes， 2 hours， and 4 hours after surgery were smaller than those of the control group. The VAS scores at 4 hours and 24 hours after surgery were lower than those of the control group， and the satisfaction of nursing service was significantly higher than that of the control group （P<0.05）. Conclusion： The effect of modified finger exercise training after PCI is accurate.

[Key words] Modified finger exercise Snuff bottle PCI operation

First-authors address： Cardiovascular Hospital Affiliated to Xiamen University， Xiamen 361009， China

作為心血管疾病常见介入化疗方式，冠状动脉介入手术（PCI）具有微创、易于压迫、安全性高及疗效确切等特点，被广泛应用于临床治疗中。与股动脉相比，桡动脉解剖位置相对较前，压迫止血难度更低，鼻烟壶处桡动脉远端管径细且动脉压力小，更容易压迫止血且护理难度低，不但能够提高患者舒适度，对于缩短其住院时间、减轻其经济负担也有重要意义。手指操有助于促进局部血液循环及组织代谢，可使组织对神经刺激得到减轻，加快组织水肿缓解，促进压迫解除，可有效缓解患者麻木等不适感[1-2]。此次调查研究纳入不稳定性心绞痛或急性心肌梗死患者100例，所选患者均采用PCI治疗，自2019年4-9月在笔者所在医院进行治疗，通过分组对照的方式观察和对比患者采用经鼻烟壶行PCI术后进行改良式手指操训练的护理效果，如下。

1 资料与方法

1.1 一般资料

将100例不稳定性心绞痛或急性心肌梗死患者纳入研究范围，纳入标准：术后病情稳定并自愿配合护理干预;Allen示尺动脉血供应无异常;沟通正常且无意识障碍;全程配合完成此次研究。……