摘要
目的探讨缩短无肝素化冠状动脉造影术后卧床时间的安全性和提高术后舒适度的可行性。方法将无肝素化冠状动脉造影的患者490例设为观察组,术后股动脉加压包扎和卧床制动2 h。将小剂量肝素行冠状动脉造影患者512例设为对照组,术后股动脉加压包扎6 h,卧床制动12 h。比较2组患者术后24 h内股动脉穿刺处出血、血肿发生率和舒适度、排尿情况。结果(1)2组患者术后股动脉穿刺处出血发生率比较,差异无显著性,P>0.05,;(2)观察组术后患者腰背部疼痛、术肢麻木不适、失眠、焦虑发生率明显低于对照组,差异有显著性,P<0.01;(3)观察组患者术后排尿舒适度明显高于对照组,差异有显著性,P<0.01。结论无肝素化冠状动脉造影术后2 h下床活动是安全可行的,并可明显提高患者术后的舒适度。
Objective To study the safety and the comfort degree for patients after coronary artery angiography without hepafin when shorten their in - bed time. Methods 490 patients after coronary artery angiography without heparin were in the observation group, 512 patients after coronary artery angiography with heparin were in the control group. Different immobilization methods were adopted in the different group, and then compared the incidence rates of complications between the 2 groups. Results There was no significant difference between the observation group and the control group in the hemorrhage rate after the puneture,P〈0.05. The incidence rates of complications in the control group were all higher than those of in the observation group significantly. The comfort degree in the observation group was significant better than that of in the control group. Conclusion Proper moving within 2 hours for patients after the coronary artery angiography without hepafin is safety, which can effective improve the comfort degree after the operation.
关键词
冠状动脉造影
肝素
并发症
舒适度
Coronary artery angiography
Heoarin Complications Comfortable
