经皮冠状动脉内支架置入术后早期体位干预的效果

Effect of the Early Position Intervention after the Percutaneous Intracoronary Stent Implantation

目的探讨对经皮冠状动脉内支架置入术后患者早期进行体位干预,以改善患者卧床排尿困难、腰背酸痛、睡眠障碍等并发症时,对穿刺部位有无影响。方法将患者分为观察组和对照组,对择期经股动脉行冠状动脉内支架置入术动脉鞘管拔除后,在手术肢体约束期间内发生卧床排尿困难、腰背酸痛、睡眠障碍的患者实施体位干预,采用改变患者以往术后绝对平卧位的方法,在护士的指导、协助下,采取半坐卧位、侧卧位的方法。结果实施体位干预后,床上排尿困难、腰背酸痛、失眠等并发症的发生显著少于对照组(p<0.05),2组术后压迫带移位以及穿刺部位出血比较差异无统计学意义(p>0.05)。结论动脉鞘管拔除后,在手术肢体约束期间内改变患者的卧位,均能有效改善患者的卧位舒适度和睡眠质量,解除床上排尿困难,使患者处于较佳的身心康复状态,而且不会因此导致穿刺部位出血的发生。

Objective：To explore whether the puncture site is affected after the percutaneous intracoronary stent implantation and when the early postural intervention is carried out to improve urination difficulties lying in bed, back pain,sleep disorders and other complications.Methods： Use the method which changes patients＇ancient horizontal lying position,after operation adopts fowler＇s position, side-lying position under the nurses＇ guidance and help.To carry out the postural interention for the patients who have dysuria in bed, back pain,sleep disorders after renvoval of the sheath on the selective coronary artery stent, implantation.Results：Position implemented after the intervention,bed dysuria,back pain,insomnia,and other complications occurred significantly lower than the control group（p〈 0.05）,with the two groups after oppression and displacement bleeding puncture site difference was not significant（p〉0.05）.Conelusion： After the removal of arterial sheath,any time change the position of patients,patients can effectively control the supine comfort and sleep quality,contact bed dysuria,so that patients in a better state of the physical and psychological recovery,and will not lead to bleeding puncture site happen.