摘要
目的探讨早期下床活动对经股动脉行射频消融术患者康复效果的影响。方法选取2012年1—8月收治于南京医科大学附属南京第一医院心内科经股动脉行射频消融术患者101例,随机分为实验A组34例、实验B组32例和对照组35例。实验A组给予鞘管拔出后8 h下床活动,实验B组鞘管拔出后12 h下床活动,对照组鞘管拔出后24 h下床活动。观察并记录鞘管拔除后2、4、8、12和24 h患者舒适度、相关并发症和D-二聚体水平。结果实验A组腰背痛程度、入睡困难情况、烦躁状况明显低于实验B组和对照组(P<0.05);相关并发症比较差异无统计学意义(P>0.05);术后24 h实验A组与对照组D-二聚体水平比较,差异有统计学意义(P<0.05)。结论对射频消融术后患者实施早期下床活动,可提高患者的舒适度,降低并发症发生的危险性,促进患者早期康复。
Objective To investigate the effect of early ambulation on patient recovery after radiofrequency catheter ablation via femoral artery. Methods A total of 101 patients with radiofrequency catheter ablation via femoral artery were selected in Nanjing First Hospital, Nanjing Medical University from January to August 2012. They were randomly divided into experimental group A （34 cases）, experimental group B （32 cases） and con- trol group （35 cases）. The three groups were given the same postural intervention. Group A received ambulation at 8 h after sheath removal, group B at 12 h, and control group at 24 h. The patient comfort, related complications and D - dimer level were recorded at 2, 4, 8, 12, 24 h after sheath removal. Results The degrees of back pain, difficulty falling asleep and agitation situation in group A significantly reduced compared with group B and control group （ P 〈 0.05 ）. But the related complications were not significantly different （ P 〉 0.05）. Twenty-four h later the D-dimer level between group A and control group was significantly different （ P 〈 0.05）. Conclusion Early ambulation can improve the patient comfort, reduce the related complications, and promote early rehabilitation in patients with radiofrequency catheter ablation via femoral artery.
出处
《上海护理》
2013年第4期9-11,共3页
Shanghai Nursing
关键词
射频消融
股动脉
舒适度
并发症
Radiofrequency catheter ablation
Femoral artery
Comfort
Complication
