如意金黄散贴敷联合常规疗法对桡动脉造影术后并发症的影响
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R541.4

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Effect of Application with Ruyi Jinhuang Powder Combined with Conventional Therapy on Complications After Radial Artery Angiography
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    摘要:

    目的:观察如意金黄散贴敷联合常规疗法对桡动脉造影术后并发症的影响。方法:选取50例行桡 动脉造影术的患者,按随机数字表法分为常规组及试验组各25例。常规组运用常规疗法,试验组运用如意金 黄散贴敷联合常规疗法。治疗2周后评价疗效。比较2组临床疗效、症状消退时间及术后并发症,比较2组治 疗前后心肌肌钙蛋白I( cTnI)、肌酸酶同功酶(CK-MB)、超敏C-反应蛋白(hs-CRP)、血管内皮功能[血管性血 友病因子(vWF)、血管内皮素1(ET-1)、一氧化氮(NO)]水平的变化。结果:试验组临床疗效总有效率为 96.00%,常规组为76.00%,2组临床疗效比较,差异有统计学意义(P<0.05)。试验组局部瘀斑、肿胀、疼痛 消退时间均短于常规组,差异均有统计学意义(P<0.05)。治疗后,2 组血清hs-CRP、cTnI、CK-MB水平 均较治疗前下降(P<0.05),试验组上述3项水平均低于常规组(P<0.05)。治疗后,2组Vwf、ET-1水平均较 治疗前下降(P<0.05),NO水平均较治疗前上升(P<0.05);试验组Vwf、ET-1水平均低于常规组(P<0.05), NO水平高于常规组(P<0.05)。试验组术后并发症发生率为4.00%,常规组为20.00%,2组并发症发生率比较, 差异有统计学意义(P<0.05)。结论:如意金黄散贴敷联合常规疗法对行桡动脉造影术有积极作用,能加快其 局部瘀斑、肿胀、疼痛消退时间,减少炎症损伤,提高血管内皮功能,降低术后并发症发生率。

    Abstract:

    Abstract:Objective:To investigate the effect of application with Ruyi Jinhuang Powder combined with conventional therapy on complications after radial artery angiography. Methods: A total of 50 cases of patients undergoing radial artery angiography were selected and divided into the conventional group and the trial group,each with 25 cases. The conventional group received conventional therapy,and the trial group received application with Ruyi Jinhuang Powder combined with conventional therapy. The efficacy was evaluated after two weeks of treatment. The clinical efficacy, symptom relief time, and postoperative complications in the two groups were compared;the changes in serum inflammatory factors levels [cardiac troponin I (cTnI), creatine kinase isoenzyme (CK-MB), hypersensitive C-reactive protein (hs-CRP)] and endothelial function [von Willebrand factor (vWF),endothelin-1 (ET-1),nitric oxide (NO)] before and after treatment were compared between the two groups. Results:The total effective rate of clinical treatment in the trial group was 96.00%, and that in the conventional group was 76.00%; the difference in clinical efficacy between the two groups was significant (P<0.05). The time for local bruising,swelling,and pain to subside in the trial group was shorter than that in the conventional group,the difference being significant (P<0.05). After treatment, the levels of hs-CRP, cTnI, and CK-MB in serum in the two groups were decreased when compared with those before treatment (P<0.05),and levels of these three indexes in the trial group were lower than those in the conventional group (P<0.05). After treatment, the levels of vWF and ET-1 in the two groups were reduced when compared with those before treatment (P<0.05),and the NO levels were increased when compared with those before treatment (P<0.05); the levels of vWF and ET-1 in the trial group were lower than those in the conventional group (P<0.05), and the NO level was higher than that in the conventional group (P<0.05). The incidence of postoperative complications in the trial group was 4.00%, and that in the conventional group was 20.00%; the difference in the incidence of complications between the two groups was significant (P<0.05). Conclusion: The application with Ruyi Jinhuang Powder combined with conventional therapy has a positive effect on patients after radial artery angiography. It can accelerate the subsidence of local bruising, swelling, and pain, reduce inflammatory damage,improve endothelial function,and reduce the incidence of postoperative complications.

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陈丽微,方建梅,张莉莉.如意金黄散贴敷联合常规疗法对桡动脉造影术后并发症的影响[J].新中医,2024,56(21):164-168

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  • 在线发布日期: 2024-11-11
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