早期下床对股动脉穿刺介入治疗术后患者舒适度及并发症影响的Meta分析

Influence of early ambulation on comfort and postoperative complications for patients with femoral artery interventional therapy： a Meta-analysis

目的了解经股动脉穿刺介入治疗术后早期下床活动对机体舒适感和并发症的影响。方法计算机检索相关文献，进行质量评价后按纳入排除标准筛选文献，共纳入12篇符合标准的随机对照试验文献，采用RevMan5．1．2软件处理，分别对术后患者的舒适感各项观察指标和并发症发生的情况进行Meta分析。结果早起下床活动的实验组患者在腰酸背痛、腹痛腹胀、术肢麻木酸胀、失眠、排尿困难和尿潴留方面的效果显著优于对照组；而在穿刺处出血、穿刺处血肿的发生率方面2组比较差异无统计学意义。结论经股动脉穿刺介入治疗术后，下肢制动并平卧12h后下床活动能有效地改善术后患者的舒适度而并未增加并发症的发生风险，更体现了“以患者为中心”的护理服务理念，也提高了患者的生活质量。

Objective To study the influence of the early ambulation on postoperative patients＂ comfort and complications with the femoral artery puncture interventional therapy. Methods After searching for related literatures with computer, we evaluated the quality of the literatures and screened them. 12 random controlled trials met the inclusion criterion. Using RevMan 5.1.2 software, we respectively made Meta analysis for patients with sense of comfort and complications after operations. Results Com- pared with the control groups, the experimental groups were better in back pain, abdominal pain, limb numbness and acid bilges, sleep disorder, dysuria and urinary retention than those of the control groups. And the difference in the site of puncture bleeding and hematoma bad no statistical significance between the two groups. Conclusions It can improve comfort for patients without increasing incidence rate of complications by lying in bed and rest for 12 hours after interventional therapy. It reflects the patient-cen- tered nurs-ing service concept and can improve the patients＂ quality of life.