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按摩和拔罐对心律失常患者的影响:一项随机平行对照试验。

The impact of massage and dry cupping on dysrhythmia in cardiac patients: A randomized parallel controlled trial.

机构信息

Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Mental Health Services, Hamad Medical Corporation, Doha, Qatar.

出版信息

J Bodyw Mov Ther. 2024 Apr;38:417-424. doi: 10.1016/j.jbmt.2024.01.028. Epub 2024 Feb 7.

Abstract

BACKGROUND

Heart disease is the leading cause of death in many countries around the world and is linked to numerous complications. In addition to conventional pharmacological treatments, complementary and alternative medicines like massage and dry cupping are employed to help manage the disease and its symptoms. This study aimed to compare the effects of massage and dry cupping on dysrhythmia in patients with heart diseases.

METHODS

This randomized parallel controlled clinical trial study was conducted in two critical care units of Shafa hospital in Kerman, southeastern Iran, in 2019-2020. A total of 90 eligible patients were allocated into three groups: massage (n = 30), dry cupping (n = 30), and control (n = 30) using a stratified block randomization method. In the massage group, the head and face were massaged for three consecutive nights, while the dry cupping group received dry cupping between the fifth cervical vertebra and the second thoracic vertebra for the same duration. Each intervention session lasted 15 min. Data collection tools included a socio-demographic and clinical characteristics questionnaire, a form for hemodynamic parameters (systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and peripheral oxygen saturation), and a form for assessing dysrhythmia using electrocardiogram readings. Dysrhythmia in the participants was evaluated after each session.

RESULTS

The results within each group indicated a statistically significant difference in the prevalence of dysrhythmia in the dry cupping group after the intervention (P < 0.05), but this difference was not statistically significant in the massage and control groups. However, when comparing between the groups, no significant difference was found among the three groups. Additionally, there was no significant difference in the type of dysrhythmia between the groups (P > 0.05).

CONCLUSION

While there was no difference in the type of dysrhythmia between the three groups, the additional reduction of dysrhythmia in the dry cupping group could hold clinical significance. Further studies are recommended to validate or refute the findings of the present study.

摘要

背景

心脏病是世界上许多国家的主要死因,与许多并发症有关。除了传统的药物治疗外,按摩和拔罐等补充和替代药物也被用于帮助管理疾病及其症状。本研究旨在比较按摩和拔罐对心脏病患者心律失常的影响。

方法

这是一项 2019 年至 2020 年在伊朗东南部克尔曼沙法医院两个重症监护病房进行的随机平行对照临床试验研究。共有 90 名符合条件的患者被分为三组:按摩组(n=30)、拔罐组(n=30)和对照组(n=30),采用分层区组随机化方法。在按摩组中,连续三个晚上按摩头部和面部,而拔罐组在第五颈椎和第二胸椎之间进行拔罐,持续时间相同。每次干预持续 15 分钟。数据收集工具包括社会人口统计学和临床特征问卷、血流动力学参数表(收缩压、舒张压、心率、呼吸频率和外周血氧饱和度)以及使用心电图读数评估心律失常的表。在每次干预后评估参与者的心律失常情况。

结果

每组内的结果表明,干预后拔罐组心律失常的发生率有统计学意义(P<0.05),但按摩组和对照组无统计学意义。然而,当比较三组之间时,三组之间没有显著差异。此外,三组之间心律失常的类型也没有显著差异(P>0.05)。

结论

虽然三组之间心律失常的类型没有差异,但拔罐组心律失常的额外减少可能具有临床意义。建议进行进一步的研究来验证或反驳本研究的结果。

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