Düzel Barış, Çam Yanik Tuğba, Kanat Canan, Altun Uğraş Gülay
Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye.
Faculty of Nursing, Department of Surgical Nursing, Mersin University, Mersin, Türkiye.
Front Cardiovasc Med. 2023 Jul 14;10:1173363. doi: 10.3389/fcvm.2023.1173363. eCollection 2023.
Subsequent to coronary angiography, procedures performed to prevent bleeding may cause pain in the patient. In this study, we aimed to determine the effect of acupressure on pain level and hemodynamic parameters in patients undergoing coronary angiography.
In this prospective, a two-arm (1:1), randomized controlled trial was conducted, with 124 patients undergoing coronary angiography included. The randomly assigned study group ( = 62) received acupressure on the LI4 (on the dorsum of the hand, between the 1st and 2nd metacarpal bones), PC6 (three fingers above the wrist), and LI11 (at the lateral end of the transverse cubital crease) points for 15 min 2 h after angiography, while the control group ( = 62) received no acupressure. Data were collected using the visual pain scale (VAS) and hemodynamic parameters [systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), respiratory rate (RR), and peripheral oxygen saturation (SpO)], monitoring form before, immediately after, and at 10, 20, and 30 min after acupressure.
In the study, it was found that patients had moderate pain after coronary angiography (study group: 5.02 ± 2.27; control group: 3.98 ± 1.82). When the groups were compared, it was found that the VAS score of the study group before angiography was significantly higher than that of the control group, but lower than the control group immediately after acupressure, and at 10, 20, and 30 min after acupressure. In addition, it was determined that acupressure was significantly higher in DBP and RR in the study group compared to the control group at 20 and 30 min; it was not effective in terms of SBP, HR, and SpO values.
The results of the study indicated that patients reported moderate pain after coronary angiography, and that acupressure was effective in reducing the pain level, but affected only the DBP and RR hemodynamic parameters. Since the study was single-centered and followed for a short time, it is recommended to conduct new studies with a longer duration.
冠状动脉造影术后，为预防出血所采取的措施可能会给患者带来疼痛。在本研究中，我们旨在确定穴位按压对接受冠状动脉造影术患者的疼痛程度和血流动力学参数的影响。
本研究为前瞻性双臂（1:1）随机对照试验，纳入了124例接受冠状动脉造影术的患者。随机分配的研究组（n = 62）在造影术后2小时接受对合谷穴（位于手背，第1和第2掌骨之间）、内关穴（腕横纹上三指处）和曲池穴（在肘横纹外侧端）进行15分钟的穴位按压，而对照组（n = 62）不接受穴位按压。使用视觉疼痛量表（VAS）和血流动力学参数[收缩压（SBP）、舒张压（DBP）、心率（HR）、呼吸频率（RR）和外周血氧饱和度（SpO₂）]监测表在穴位按压前、按压后即刻以及按压后10、20和30分钟收集数据。
研究发现，冠状动脉造影术后患者有中度疼痛（研究组：5.02±2.27；对照组：3.98±1.82）。比较两组时发现，研究组造影术前的VAS评分显著高于对照组，但在穴位按压后即刻以及按压后10、20和30分钟低于对照组。此外，确定研究组在按压后20和30分钟时的DBP和RR显著高于对照组；在SBP、HR和SpO₂值方面无效。
研究结果表明，冠状动脉造影术后患者报告有中度疼痛，穴位按压在减轻疼痛程度方面有效，但仅影响DBP和RR血流动力学参数。由于本研究为单中心且随访时间短，建议开展持续时间更长的新研究。
