早期下床对主动固定电极起搏器术后并发症的影响

Effect of early ambulation on postoperative complication for patients with active fixation electrode pacemaker

目的探讨主动固定电极起搏器植入术后6h下床活动的安全性及可行性。方法将符合条件的228例起搏器植入术患者按手术单双日分为观察组和对照组,两组患者植入起搏器术后均给予常规护理,对照组患者按传统方法术后卧床24h;观察组患者术后平卧6h后在护士的指导、协助下,下床活动。结果患者电极脱位、囊袋血肿、伤口出血的发生率两组无统计学差异(P>0.05);观察组患者腰背酸痛的程度较对照组患者轻(P<0.05),排尿、排便困难,尿潴留的发生率低于对照组(P<0.05)。结论主动固定电极起搏器植入术后6h下床活动是安全可行的,能减少卧床相关并发症,提高患者舒适度。

Objective To study the safety and advantage of ambulation 6 h after active-fixation lead pacemaker implantation. Method 228 patients with active-fixation lead pacemaker implantation were selected and randomly divided into control group and observation group according to the odd and even days of operation. Conventional medical care was conducted in control group and the time of bed rest was 24 h,The observation group started to walk with the assistant and guide of nurse after 6 h of the operation. Resull There were no significant difference of the incidence rate of lead dislocation, pocket hematoma and incision hemorrhage between two groups（P〈0.05） ; How ever, the degree of backache in observation group was milder than that the control group. In additional, the incidence rate of urination, bowel problems and urinary retention in observation group were lower than that of the control group （P〈0. 05）. Conclusion Ambulation 6 h after active fixed electrode pacemaker implantation is safe and feasi- ble. It can reduce bed-related complications and improve patient comfort.