经皮冠状动脉内介入治疗术后患者卧位及卧床时间的研究

目的:探讨经皮冠状动脉内介入治疗(PC I)术后患者的卧位及卧床时间对患者舒适度及并发症发生率的影响。方法:将140例PC I术后患者随机分为对照组和实验组,对照组60例,穿刺点弹性绷带包扎并用1kg沙袋压迫8h,术侧肢体制动24h后下床活动;实验组80例,术后床头抬高30°,穿刺点弹性绷带包扎,术侧肢体伸直可水平移动,患者侧卧位与平卧位交替,12h后下床活动。结果:两组术后并发症发生率无明显差异(P>0.05),但实验组患者舒适度明显优于对照组(P<0.05)。结论:经皮冠状动脉内介入术后采取抬高床头30°、侧卧位与平卧位交替、早期下床活动可提高患者的舒适度,且不增加术后并发症发生率。

Study on the lying position and length in bed for the patients after percutaneous coronary intervention therapy.

Objective: To explore the effect of lying position and length in bed on the patient's comfort after percutaneous coronary intervention therapy. Methods: 140 patients were divided into experimental group(n=80) and control group(n=60) randomly.Punctured point was dressed in elastic bandage and pressed by 1kg sand bag for 8 hours in the control group,and the patients were not allowed to get up within 24 hours after percutaneous coronary intervention therapy. In the experimental group,slopping up bed-head 30 degree was applied and punctured point was dressed in elastic bandage,the patients were helped to move the punctured limb horizontally and change lying position from lateral recumbent position to horizontal position alternatively and allowed to get up after 12 hours of intervention therapy.Results: There was no significant difference in the occurrence of complications between the two groups(P>0.05),and patient's comfort was much more in the experimental group than that in the control group(P<0.05).Conclusion: The comprehensive nursing care such as sloping up bed,changing lying position alternatively and get up as early as possible can increase patient's comfort and reduce the incidence of postoperative complications.