脑血管造影术后不同卧床时间与制动方法的对比研究

Effect of different periods of bed rest and immobilization after cerebral angiography

目的:探讨脑血管造影术后卧床和患肢制动的最佳时间。方法:将120例行脑血管造影的住院患者分为缩短卧床时间组(观察组)和常规卧床时间组(对照组),分别按卧床12h和24h两种不同时间、不同制动方式进行术后指导。结果:观察组术后腰背疼痛、尿潴留等并发症发生率显著低于对照组(P<0.01或P<0.05)。结论:脑血管造影术后宜采用沙袋压迫局部4～6h,6h后患肢可以左右移动,小腿自由曲伸或取健侧卧位,12h后即可下床行走。

Objective To explore the optimum period of bed rest and immobilization after cerebral angiography. Methods 120 patients were randomly assigned to the shorten period of bed rest group （experimental group） and the routine bed rest group （control group） . They were instructed to have a bed rest for 12 or 24 hours with different types of immobilization after cerebral angiography. Results There were less complications such as backache and urinary retention in the experimental group than in the control group（ P 〈 0, 01, P 〈 0.05） , Conclusion The patients with cerebral angiography could start to move their affected lower limbs horizontally, to stretch their legs,freely or to lie on their unaffected sides after 6 hours of bed rest and immobilization with a 4 - 6 hour pressure on the site of the femoral puncture. They could ambulate freely after 12 hours of bed rest.