经导管溶栓治疗糖尿病下肢血管病变的同期护理

[目的]探讨挤压与按摩的护理方法对经导管溶栓治疗糖尿病下肢血管病变的疗效.[方法]32例病人共61枚肢体随机分威对照组与试验组.试验组在动脉留置导管溶栓的同时,应用挤压与按摩的护理.[结果]试验组病人血管的再通率明显高于对照组.[结论]经导管溶栓治疗糖尿病下肢血管病变期间,配合挤压与按摩的护理方式可以明显地提高疗效.     

穴位按摩对高血压脑卒中病人血压的影响

目的探讨穴位按摩对高血压脑卒中病人血压的调节作用。方法2005年10月～2006年10月,选择我院神经科住院的高血压脑卒中病人80例,随机分为治疗组42例和对照组38例,对照组进行常规降压药治疗和对症治疗,治疗组在此基础上增加穴位按摩治疗。比较两组治疗前后血压的变化。结果两组病人治疗后收缩压均较治疗前有明显降低,治疗组治疗后及对照组治疗2、3周的舒张压也较治疗前明显下降（t=3.02～3.67,P〈0.05）。治疗组穴位按摩治疗后2、3周的收缩压与对照组比较,差异均有显著性（t=2.76、3.25,P〈0.05）。治疗组病人舒张压在穴位按摩治疗后1周较治疗前明显下降,但对照组从治疗后2周才开始显著下降。经穴位按摩治疗后,病人自我感觉良好,均无明显不良反应。结论穴位按摩可作为高血压脑卒中病人的一种辅助降压手段。     

Efficacy and safety of massage therapy for autism spectrum disorders: A protocol for systematic review and meta-analysis

BackgroundAutism spectrum disorder is a neurodevelopmental disorder with increasing incidence. At present, the global incidence of the disease is on the rise, and the cause is unknown. There is no specific treatment for this disease at present, mainly education and training. Traditional Chinese medicine treatment has a certain effect on the improvement of the symptoms of the disease. The treatment methods are mainly oral Chinese medicine and acupuncture, but children are often not easy to cooperate. As a safe and effective green therapy, massage is easy to be accepted by children.MethodsWe will search the following electronic databases for randomized controlled trials to evaluate the effectiveness and safety of massage therapy in treating autism spectrum disorders: Wanfang and PubMed Database, China National Knowledge Infrastructure Database, Cochrane Central Register of Controlled Trials, Cumulative Index of Nursing and Allied Health Literature, and Excerpta Medica database. Each database will be searched from inception to March 2021. The entire process will include study selection, data extraction, risk of bias assessment, and meta-analyses.ResultsThis proposed study will evaluate the effectiveness and safety of massage therapy for patients with autism spectrum disorders. The outcomes will include changes in autism spectrum disorder relief and adverse effect.ConclusionThis proposed systematic review will evaluate the existing evidence on the effectiveness and safety of massage therapy for patients with autism spectrum disorders.Dissemination and ethicsThe results of this review will be disseminated through peer-reviewed publication. Because all of the data used in this systematic review and meta-analysis have been published, this review does not require ethical approval. Furthermore, all data will be analyzed anonymously during the review process.     

足部按摩结合穴位按揉对胃肠道术后肠蠕动影响的研究

目的 观察足部按摩结合穴位按揉对胃肠道手术患者肠蠕动恢复的影响.方法 将127例胃肠道术后患者根据手术日单、双号分成两组,观察组除了术后常规护理外给予足部按摩 穴位按揉;对照组给予术后常规护理外指导患者早期活动.比较两组腹胀发生、肠蠕动恢复及肛门排气情况,并作统计学处理.结果 观察组腹胀发生率低、肠蠕动恢复及肛门排气出现早,与对照组比较,统计有高度显著性差异.结论 足部按摩结合穴位按揉能更有效地促进胃肠道术后肠蠕动恢复.     

Aromatherapy Hand Massage for Test Anxiety and Self-Efficacy in Nursing Students: A Pilot Study

The purpose of this study was to determine if aromatherapy hand massage (HM) could improve test anxiety and self-efficacy in nursing students. Participants were randomized to receive aromatherapy hand massage (AHM), unscented HM, or no intervention (C) 60 minutes before an examination. No significant differences were found, but analysis of the percentage change from the means demonstrated the largest decrease in test anxiety in the AHM group (AHM = ?12.4%, HM = ?8.63%, C = ?1.76%). Self-efficacy trends followed a similar pattern (AHM = 5.93%, HM = ?3.03%, C = 0.52%). The trends in the percentage change from the means indicate that a larger sample may show improvements in test anxiety and self-efficacy with the use of AHM, which could improve nursing students’ academic performance and decrease attrition rates.     

经络穴位按摩对产后缺乳的效果观察

目的观察经络穴位按摩干预产后缺乳的效果。方法将160例产后缺乳产妇按随机数字表分为对照组和观察组各80例。对照组采用产后常规护理,观察组在对照组基础上根据辨证分型给予经络穴位按摩。比较两组产妇的泌乳量评分、血清泌乳素水平及新生儿生长发育情况和护理满意度。结果泌乳量评分:干预后观察组评分(2.68±1.06)分,对照组评分(1.91±1.38)分,t=3.958,P0.05;血清泌乳素水平:干预后观察组血清泌乳素(288.7±150.3)ng/ml,对照组(212.5±136.8)ng/ml,t=3.354,P0.05;新生儿生长发育情况:观察组新生儿生理性体质量下降较对照组少(t=37.080,P0.05),经皮胆红素值较对照组低(t=4.932,P0.05);护理满意度:观察组的护理满意度(92.5%)明显高于对照组(80.0%),两组比较,x~2=5.270,P0.05。结论经络穴位按摩能增加产妇泌乳量,促进血清泌乳素的分泌及新生儿的生长发育,提高护理满意度。     

穴位注射联合按摩对乳腺癌术后患者肢体功能恢复的影响

目的:探讨穴位注射联合按摩对乳腺癌术后患者肢体功能恢复的影响。方法:将乳腺癌术后患者120例随机分为2组各60例,观察组采用穴位注射联合按摩治疗,对照组常规治疗;以肩关节功能、肢体发生并发症、生活质量为观察指标,评价2组患者肢体功能恢复情况。结果:观察组在改善患者术后关节活动度、减少患肢并发症以及在提高患者生活质量方面,与对照比较差异有统计学意义(P0.05)。结论:穴位注射联合按摩可有效改善乳腺癌术后患者的患肢功能,提高其生活质量。     

电刺激联合中医推拿对产后腹直肌分离的疗效分析

腹直肌分离是指两侧腹直肌在腹中线位置向两侧分开,是产后妇女常见症状。目前国内外对腹直肌分离的诊断尚未完全统一,一般指分离距离超过2 cm[1-3]。产后腹直肌分离可影响产妇形体美观,持续长期存在还可能影响骨盆脊柱的稳定性,改变盆腹动力学,增加慢性盆腔疼痛、盆底功能障碍及腰疼等风险[4]。目前腹直肌分离的治疗方法有期待治疗、电刺激治疗、中医疗法、锻炼疗法、手术治疗等,但其治疗效果尚需更多的循证医学证据来支持。随着三孩政策的实施以及女性对生活质量要求的提高,腹直肌分离的规范有效治疗也更为迫切。本研究对电刺激联合中医推拿的治疗效果进行探讨,以期为腹直肌分离产妇的快速康复提供参考依据。     

穴位推拿结合抗痉挛技术抑制中风患者上肢肌痉挛疗效观察

【】目的：观察穴位推拿结合抗痉挛技术对脑卒中后上肢肌痉挛的改善情况。方法：40例脑卒中后上肢肌痉挛的患者随机分成治疗组和对照组,治疗组20人,以穴位推拿结合抗痉挛技术治疗。对照组20人,以神经肌肉促进术中的抗痉挛术治疗,每日2次,在治疗4周和12周后分别评定疗效,在治疗前和治疗后运用改良的Ashworth肌痉挛量表(MAS)和Fugl-meyer(FMA)量表中的上肢运动功能测试部分进行上肢肌痉挛和运动功能的评定。结果：两组患者治疗后MAS和 FMA评分与治疗前比较有明显改善,差异有统计学意义(P﹤0.05)。治疗组与对照组治疗后MAS和 FMA评分比较,治疗组明显优于对照组,差异有统计学意义(P﹤0.05)。结论：两组均能改善上肢肌痉挛和运动功能, 但穴位推拿结合抗痉挛技术在改善上肢肌痉挛和运动功能方面又优于单纯抗痉挛技术。     

Impact of abdominal massage on enteral nutrition complications in adult critically ill patients: A systematic review and meta-analysis

BackgroundAdult critically ill patients are prone to complications when receiving enteral nutrition, including feeding intolerance. Although abdominal massage is an effective intervention, its effects on enteral nutrition complications in adult critically ill patients are controversial.ObjectiveTo summarize and evaluate the effect of abdominal massage on enteral nutrition complications in adult critically ill patients.MethodsWe searched databases (e.g., PubMed, the Cochrane Library, Embase, and Web of Science) from inception until November 2020 for relevant studies published in English. The methodological quality of selected studies was assessed with the Cochrane Risk of Bias 2.0 tool. And we used of PRISMA 2020 guidelines. The meta-analysis results were reported as mean difference (MD) and events, and the heterogeneity of the studies was evaluated using I².ResultsSeven studies including 472 participants (aged≥18 years) met the inclusion criteria. The mean gastric residual volume (GRV) (MD=−42.41, 95% confidence interval [CI]: −71.43, −13.39; P = 0.004) and incidence of abdominal distension (odds ratio [OR]=0.08, 95%CI: 0.03, 0.19; P < 0.00001) were significantly lower in the massage therapy group compared with controls. The incidence of vomiting (OR=0.09, 95%CI: 0.01, 0.72; P = 0.02) and ventilator-associated pneumonia (VAP) (OR=0.20, 95%CI: 0.05, 0.77; P = 0.02) were statistically significantly lower in the abdominal massage group compared with controls.ConclusionAbdominal massage reduces GRV, vomiting, abdominal distension, and VAP in adult critically ill patients. Given the limited number of reviewed studies, small number of patients examined, and short intervention periods, further randomized controlled trials are needed that use accurate methodology, longer interventions, and larger sample sizes to confirm the effect of abdominal massage on feeding intolerance in adult critically ill patients.