肝动脉化疗栓塞术后卧床制动时间的护理研究

Nursing Research of Immobilization Duration after transcatheter arterial chemoembolization

目的探讨肝动脉化疗栓塞（简称TACE）术后患者下地活动的合适时间。方法运用观察法和问卷调查法，对180例行TACE的患者术后不同下地活动时间与股动脉穿刺处出血、不舒适感和第1次排尿时间的关系进行研究。结果TACE术后不同下地活动时间患者的股动脉穿刺处出血发生率比较，差异无显著性（P〉0．05）；术后6h下地活动患者不舒适感发生率明显降低（P〈0．01），97．8％的患者能自行入厕排尿。结论TACE术后患者只需卧床制动6h就可预防股动脉穿刺处出血，使患者的舒适感增加。

Objective To explore the appropriate time to ambulation in patients after Transatheter Arerial Chemoemboilzation（ TACE ）. Method with the use of observation and questionnaire survey method, to study the relationship of different ambulation time and the femoral artery puncture bleeding, discomfortableness and the first voiding time in 180 case of patients after TACE. Result the femoral artery puncture rate of bleeding compared to no significant difference between different ambulation time in patients after TACE（ P〉 0.05 ）;Ambulation after 6 hours in patients with discomfort were significantly lower（ P〈 0.01 ）; 97.8% patients go to the toilet on their own urine.Conclusion Patients after TACE need only six hours in bed to prevent femoral artery puncture bleeding, so that patients with increased comfort.