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中药热奄包穴位外敷对PCI术后早期患者运动性疲劳的影响

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目的 探讨中药热奄包穴位外敷对经皮冠状动脉介入(PCI)术后早期患者运动性疲劳的影响.方法 选择PCI 术后早期患者(术后1~2周)48例,随机分为热奄包组和对照组各24例.热奄包组于内关穴及足三里穴行中药热奄包干预,对照组予普通热沙包干预,干预前5 d及干预后分别行心肺运动试验(CPET)、Borg主观疲劳程度评分评估(RPE)、腿围测量、肌电图检测.结果 干预后,热奄包组2 min心率恢复值(HRR2)及RPE较前改善(P<0.05);热奄包组RPE改善优于对照组(P<0.05).运动后即刻测量,两组患者大腿围及对照组小腿围较运动前增加(P<0.05),运动后15 min测量,对照组大腿围较运动前增加,且大于热奄包组(P<0.05).运动后15 min,两组患者积分肌电(IEMG)较运动前增加(P<0.05),MPF较运动前降低(P<0.05),且对照组平均功率频率(MPF)高于热奄包组(P<0.05).结论 中药热奄包穴位外敷能够改善PCI术后早期患者运动性疲劳,但单次干预对运动能力的改善并不显著.
Objective To investigate the effect of hot compress with Chinese herbal medicine on exercise fatigue in early patients after percutaneous coronary intervention(PCI).Methods Forty-eight patients who met the inclusion criteria in the early stage(1~2 weeks after surgery)after PCI were randomly divided into the hot compress group and the control group.In the hot compress group,the traditional Chinese medicine hot pack intervention was performed at Neiguan and Zusanli acupoints.The control group was given ordinary sandbag intervention.cardiopulmonary exercise test(CPET),Borg subjective fatigue score(RPE),leg circumference measurements and electromyographic detection were performed 5 days before and after intervention.Results Compared with before intervention,the 2-minute heart rate recovery value(HRR2)and RPE in the hot compress group were significantly improved(P<0.05).The improvement of RPE in the hot compress group was better than that in the control group(P<0.05).Immediately after exercise,before contrast exercise,the thigh circumference of both groups of patients and the calf circumference of the control group increased(P<0.05).15 minutes after exercise,only the thigh circumference of the control group increased,and was greater than that of the hot compress group(P<0.05).15 minutes after exercise,theintegral electromyography(IEMG)of both groups increased(P<0.05),while the mean power frequency(MPF)decreased(P<0.05),and the MPF of the control group was higher than that of the hot compress group(P<0.05).Conclusion The traditional Chinese medicine package hot compress acupoints can significantly improve the exercise fatigue of patients in the early stage after PCI,but the improvement of exercise ability is not significantly improved by a single intervention.

Traditional Chinese medicine hot packsAcupuncture pointAfter percutaneous coronary interventionExercise fatigue

虞美华

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310016 浙江康复医院

中药热奄包 穴位 PCI术后 运动性疲劳

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(1)
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