Objective To study the effect of point massage on preventing cardiovascular stress response from tourniquet in lower limbs orthopedics surgery. Methods Totally 180 patients underwent lower limbs orthopedics surgery were randomly divided into control group and observation group. Patients in control group were given routine nursing of tourniquet and those in observation group received acupuncture point massage and conventional nursing. Blood pressure and heart rate in two groups were compared. Results After the application of tourniquet, in observation group the blood pressure was lower and heart rate fluctuation was significantly weaker than those in control group, which indicated statistical significance (P<0.05). Conclusion Point massage is effective for preventing cardiovascular stress response from tourniquet in lower limbs orthopedics surgery and improving the quality of nursing cooperation.% 目的研究穴位按摩预防下肢骨科手术止血带心血管应激反应的效果.方法选取下肢择期骨科手术应用止血带的患者180例,将患者随机分成两组,对照组给予止血带常规护理,观察组在常规护理的基础上,在止血带充气开始时即刻进行合谷、内关、神门穴位按摩,每穴按摩2 min,3个穴各完成按摩1次为一循环,隔10 min再开始下一循环穴位按摩直至手术结束,放气阶段及放气后5 min内均进行穴位按摩.比较两组充气后30、60 min,放气后0、1、3、5 min血压和心率情况.结果上止血带后,观察组充气后30、60 min,放气后0、1、3、5 min血压及心率波动明显小于对照组,差异均有统计学意义(P<0.05).结论穴位按摩能预防下肢骨科手术止血带心血管应激反应,可提高护理配合的质量.
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