Effect of Massage and Dry Cupping on Hemodynamic Parameters of Cardiac Patients: A Randomized Controlled Trial

Yaser Hamzehnejadi MSc , Parvin Mangolian Shahrbabaki PhD , Mina Mahmoodabadi MSc , Mahlagha Dehghan PhD
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Abstract

Objective

The aim of this study was to compare the effects of massage versus dry cupping in addition to routine care on hemodynamic parameters of cardiac patients in critical care units.

Methods

The present study was a parallel randomized controlled clinical trial that was conducted in the critical care units of Shafa Hospital in Kerman, Iran, from 2019 to 2020. Ninety eligible patients)aged 18-75 years, no cardiac arrest in the past 72 hours, no severe dyspnea, no fever, and no cardiac pacemaker) were divided into massage (n = 30), dry cupping (n = 30), and control (n = 30) groups using the stratified block randomization method. The massage group received routine care and a head and face massage for 3 consecutive nights from the second day of admission. The dry cupping group received routine care and dry cupping between the third cervical vertebra and the fourth thoracic vertebra for 3 consecutive nights. The control group received only routine care, which included daily visits by the attending physician, nursing care, and medication. Each intervention session was performed for 15 minutes. The data collection tools included the sociodemographic and clinical characteristics questionnaire and the hemodynamic parameters form (systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, and saturation of peripheral oxygen). The hemodynamic parameters were measured each night before and after the intervention.

Results

The mean systolic blood pressure, heart rate, respiratory rate, and oxygen saturation level showed no significant difference among the 3 groups. The mean diastolic blood pressure of the 3 groups varied significantly over time. The mean diastolic blood pressure of the massage group decreased significantly on the third day of intervention, while it did not change significantly in the 2 groups of dry cupping or control (P < .05).

Conclusion

According to the results of this study, dry cupping had no effect on regulating hemodynamic parameters, while only diastolic blood pressure was reduced significantly after massage on the third day of intervention. Therefore, our study did not show effects of massage and dry cupping on regulating hemodynamic parameters.

按摩和干拔罐对心脏病患者血流动力学参数的影响:一项随机对照试验
目的比较在常规护理的基础上,按摩与干拔罐对危重病房心脏病患者血流动力学参数的影响。方法本研究是一项平行随机对照临床试验,于2019 - 2020年在伊朗克尔曼沙法医院重症监护病房进行。90例符合条件的患者(年龄18-75岁,过去72小时内无心脏骤停,无严重呼吸困难,无发热,无心脏起搏器)采用分层块随机化方法分为按摩组(n = 30),干拔罐组(n = 30)和对照组(n = 30)。按摩组患者自入院第2天起连续3晚接受常规护理及头部、面部按摩。干罐组给予常规护理,在第三颈椎和第四胸椎之间连续干罐3晚。对照组只接受常规护理,包括主治医生的日常拜访、护理和药物治疗。每次干预时间为15分钟。数据收集工具包括社会人口学、临床特征问卷和血流动力学参数表(收缩压、舒张压、心率、呼吸频率、外周血氧饱和度)。每晚在干预前后测量血流动力学参数。结果3组患者平均收缩压、心率、呼吸频率、血氧饱和度差异无统计学意义。三组平均舒张压随时间变化显著。按摩组的平均舒张压在干预第3天显著降低,而干拔组和对照组的平均舒张压无显著变化(P <. 05)。结论根据本研究结果,干拔罐对血流动力学参数没有调节作用,而在干预第3天,按摩后只有舒张压明显降低。因此,我们的研究没有显示按摩和干拔罐对血流动力学参数的调节作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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