摘要
目的评价手指操运动改善冠心病患者经桡动脉冠状动脉介入术后康复的效果。方法使用计算机检索PubMed、Embase、Web of science、Cochrane Library、中国知网、万方、维普、中国生物医学文献数据库,检索时限为建库至2023年10月。搜索手指操运动在经桡动脉冠状动脉介入术后患者中应用效果的随机对照研究,使用统计软件RevMan5.4进行分析。结果纳入临床随机对照试验17篇,总样本量2469例。结果显示,运用手指操进行康复锻炼可缓解患者术后肢体的疼痛感(RR=0.37,95%CI:0.29~0.47,P<0.001)及麻木感(MD=-1.59,95%CI:-1.98~-1.19,P<0.001),降低肿胀发生率(RR=0.41,95%CI:0.34~0.51,P<0.001)和压疮发生率(RR=0.20,95%CI:0.06~0.67,P=0.009),但在降低患者术肢出血率方面,差异无统计学意义(RR=1.01,95%CI:0.84~1.20,P=0.95)。结论经桡动脉冠状动脉介入术后进行手指操锻炼可有效降低患者术肢的疼痛麻木感、肿胀及压疮发生率,但对改善术后肢体出血情况效果不显著。
Objective To evaluate the effect of finger exercises on improving rehabilitation outcomes after transradial coronary intervention in patients with coronary artery disease.Methods A computerized search of PubMed,Embase,Web of science,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database and China Biomedical Literature Database(CBM)was performed with a search time frame from the establishment of the databases to October 2023.A meta-analysis of the randomized controlled studies on the effect of finger exercises in patients after transradial coronary intervention was conducted using RevMan 5.4 software.Results 17 clinical randomized controlled trials with a total sample size of 2469 cases were included.The meta-analysis results suggested that rehabilitation exercises using finger exercises could relieve patients’postoperative limb pain(RR=0.37,95%CI:0.29-0.47,P<0.001)and numbness(MD=-1.59,95%CI:-1.98--1.19,P<0.001),and reduce the incidence of swelling(RR=0.41,95%CI:0.34-0.51,P<0.001)and the incidence of pressure sores(RR=0.20,95%CI:0.06-0.67,P=0.009),but the difference was not statistically significant in reducing the extent of bleeding from patients’operated limbs(RR=1.01,95%CI:0.84-1.20,P=0.95).Conclusions Finger exercises after transradial coronary intervention might be effective in reducing pain and numbness,swelling and the incidence of pressure sores in patients’operated limb,but not effective in improving postoperative limb bleeding.
作者
陈祎慧
彭莹
程婷
李雯欣
张娜
涂惠
CHEN Yi-hui;PENG Ying;CHENG Ting;LI Wen-xin;ZHANG Na;TU Hui(Department of Nursing,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China;School of Nursing,Nanchang University,Nanchang 330006,China)
出处
《南昌大学学报（医学版）》
2024年第4期75-81,92,共8页
Journal of Nanchang University：Medical Sciences
基金
江西省中医药管理局科技计划(2020B0060)
江西省重点研发计划项目(20202BBG73018)
中华护理学会2021年度立项科研课题项目(ZHKYQ202112)。
关键词
冠心病
经皮冠状动脉介入治疗
手指操
META分析
coronary artery disease
percutaneous coronary intervention
finger exercise
meta-analysis
