心脏起搏器安装术后卧床时间的研究

心脏起搏器安装术后最常见的并发症起搏电极移位术后的传统护理方法，是让病人术后绝对卧床３～７天。病人卧床期间，会出现腹胀、便秘、食欲减退等症状。为此对病人卧床时间进行研究，采取固定病人术侧肩肘关节的方法，术后６ｈ取半卧位，２４ｈ后下床活动。早期下床活动３５例无１例发生电极移位，与常规组相比，腹胀、便秘发生率明显减少，切口拆线时间提前１天，术后住院天数缩短３天

Study on the Position of Patients after Cardiac Pacemakers Implantation

Displacement of pacemaker electrode is the most common complication in patients after cardiac pacemakers inplantation.According to the tradditional nursing method,patients must lie in bed absolutely for 3 to 7 days.However,because of changing of life habit,they often have symptoms of abdominal distension,constipation,bad appetite and so on.So we studied the position of patients after being implanted with cardic pacemakers.The shoulder and elbow joints of the affected side of patient were fixed.Patients were allowed to sit up at the operation day and walk away from bed within 24 hours.None of the 35 patients studied had the complication of displacement fo pacemaker electrode and less symptems of distension and constipation were reported compared with the controlled group.The sutures were take out one day earlier than before and the hospital staying reduced to 3 days. Author's address \ Affliated Railway Hospital of Shanghai Tiedao Medical College,Shanghai,200030.