Influence of acupuncture point massage combined with limb function exercise on ABI and PWV of patients with CHD
10.3969/j.issn.1671-8283.2016.04.006
- VernacularTitle:穴位按摩结合肢体功能锻炼对冠心病患者踝臂指数和脉搏波传导速度的影响*
- Author:
Chunyu HUANG
;
Xinger XIE
;
Guiling GENG
;
Meilan WANG
;
Xiangyun QIAN
;
Lei DING
;
Guo ZHOU
;
Gang LI
;
Jianming WU
- Publication Type:Journal Article
- Keywords:
coronary heart disease;
acupoint massage;
limb function exercise;
ankle brachial index;
pulse wave velocity
- From:
Modern Clinical Nursing
2016;15(4):18-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of acupuncture point massage combined with limb function exercise on ankle brachial index (ABI) and pulse wave velocity (PWV) in patients with coronary heart disease (CHD). Methods According to scores by grace score scale, 180 CHD patients were divided into three groups: low risk group (n=58), moderate risk group (n=68) and high risk group (n=54). Within the three groups, the patients were divided into the experiment group and the control group by using the random digital table. The control group was treated with routine nursing intervention , while the experiment groups accepted acupuncture point massage and limb function exercise training on the basis of control groups. We collected the values of ABI and PWV at four points-in-time: before intervention, 7 days after intervention, 30 days after intervention and 90 days after intervention. Results Repeated measurement data analysis of the experiment group and control group suggested that:in the moderate and high risk groups, there was statistically significant difference (P<0.05) in the data at the four time points. There was no statistically significant difference (P > 0.05) in time and group interaction effect. The difference between the experiment group and control group was statistically significant (P<0.05). Repeated measurement data analysis showed that there was no statistically significant difference (P>0.05) in ABI&PWV interaction effect at the four time points between the experiment group and control group. In the low-risk group,the differences in time points compared with the main effect were insignificant (all P>0.05). In comparison of main effect at all the four time points, there was significant different in the moderate and high risk group (P<0.05), And it suggested that time and group interaction, namely effect of time factor (1 d, 7 d, 30 d, 90 d), was not decided by the division of groups. In comparison of main effect, the difference was statistically significant (all P < 0.01) in the moderate and high-risk group, which indicated the main effect (intervention) playing main role. However, there was no statistically significant difference (P>0.05) of ABI&PWV before and 90-days after intervention. Conclusion Acupuncture point massage combined with limb function exercise can effectively improve the peripheral artery blood supply in CHD patients, lower ABI and promote PWV.
