摘要
目的探讨股动脉穿刺PCI术后早期活动对舒适和出血的影响。方法实验组拔除动脉鞘管3h可取舒适体位,12h后可下床活动;对照组平卧,术侧下肢制动24h。用Christenson改良法评估伤口出血、NPIS评估腰背痛、S-AI评定焦虑。结果 2组患者伤口出血没有明显差异(χ2=0.761,P>0.05);术后12h2组患者的腰背疼痛(t=-2.137,P<0.05)和焦虑(t=7.926,P<0.05)有明显差异。结论术后早期活动不增加局部伤口出血的发生率,且能有效减轻术后不适及心理压力。
Objective To investigate the influence of early activities on the comfort and bleeding after femoral artery puncture site PCI. Methods Patients of experimental group could take a comfortable position 3 hours after pulled out arterial sheath, and could get out of bed 12 hours after that; Patients of control group were asked to keep supine position, and to keep operative side lower limb braking for 24 hours. The Christenson modified method was used to evaluate wound bleeding, NPIS was taken to evaluate back pain, and S-AI was taken to evaluate anxiety. Results Wounds bleeding of two groups did not differ significantly（x2=0.761,P〉0.05）; Back pain （t =-2.137,P 〈0.05） and anxiety （t =7.926,P 〈0.05） of two groups were significantly different 12 hours after operation. Conclusion The early activities after operation does not increase the incidence of local wound bleeding, and can effectively reduce the discomfort and psychological stress after operation.
基金
2009年广东医学院校级青年科研基金立项课题(项目编号:XQ1013)
关键词
PCI
股动脉
康复
舒适度
出血
PCI
Femoral artery
Rehabilitation
Comfortable
Bleeding
