Application effect of six-step finger exercise in patients after percutaneous coronaryintervention (PCI) via radial artery
六步手指操在经桡动脉行冠状动脉介入治疗（PCI）术后患者中的应用效果观察

摘要

目的 探讨六步手指操的操作方法及在PCI术后患者康复中的应用价值。方法 将于我院经桡动脉行PCI治疗的104例患者分为LB组54例和FLB组50例，PCI术后护理中FLB组实施常规康复护理， LB组在常规康复护理的基础上联合开展六步手指操。术后，采用VAS评分法评价患者术侧肢体疼痛程度，分别监测并记录两组患者术后穿刺口出血发生率及出血量，并采用皮尺测量患者手掌周径。结果 患者术后1h、6h、24h，LB组患者术侧肢体疼痛VAS评分均低于FLB组（P＜0.05）。LB组患者穿刺口出血率为5.56%，低于FLB组的14%（P＜0.05）。术后1h、6h，LB组患者术侧肢体手掌周径均小于FLB组（P＜0.05）。结论 经桡动脉行PCI术后康复护理中通过六步手指操康复锻炼可有效减轻患者术侧肢体疼痛程度和肿胀程度，预防后穿刺口出血并发症。

Abstract

Objective To explore the operation method of six-step finger exercise and its application value in the rehabilitation of patients after PCI.
Methods 104 patients who underwent PCI via radial artery in our hospital were divided into LB group (54 cases) and FLB group (50 cases). The FLB group was given routine rehabilitation nursing after PCI, while the LB group was combined with six-step finger exercises on the basis of routine rehabilitation nursing. Postoperative VAS score was used to evaluate the degree of limb pain on the operative side of the patients. The incidence and amount of postoperative puncture bleeding were monitored and recorded, and the circumference of the palm of the patients was measured by tape measure.
Results At 1h, 6h, and 24h after operation, the VAS scores of limb pain in LB group were lower than those in FLB group (P < 0.05). The puncture bleeding rate in LB group was 5.56%, which was lower than 14% in FLB group (P < 0.05). At 1h and 6h after operation, the palm circumference of the operative side of the limb in LB group was smaller than that in FLB group (P < 0.05).
Conclusion   In rehabilitation nursing after PCI via radial artery, six-step finger exercise rehabilitation exercise can effectively reduce the degree of pain and swelling of the operative side limb, and prevent postoperative puncture bleeding complications.