经股动脉全脑血管介入术后术肢解除制动时机的研究

Research of the Limbs after Brake Release Time for Transfemoral Cerebral Vascular Intervention

目的探讨经股动脉全脑血管介入术后术肢解除制动的最佳时机及早期下床活动的可行性和安全性。方法将2013-07-2014-04间入住我院脑血管中心的100例经股动脉行全脑血管造影的患者随机分为对照组与干预组,每组各50例,对照组术肢伸直制动12 h,绝对卧床24 h;干预组在术肢制动期间实施护理干预措施：术后2 h术肢解除制动,术后8 h下床活动,观察并比较两组患者穿刺及非穿刺部位并发症的发生和舒适度情况。结果两组患者术后穿刺部位并发症伤口出血率比较无统计学意义（P〉0.05）,但术后腰背部疼、排尿困难、腹胀等非穿刺部位并发症比较,有统计学意义（P〈0.05）。结论经股动脉全脑血管介入术后2 h术肢解除制动、术后8 h下床活动是可行的、安全的,可明显减少非穿刺部位术后并发症的发生,提高患者的舒适度。

Objective To explore the best opportunity of the limbs after brake release time for transfemoral cerebral vascular intervention and the feasibility and security of early ambulation. Methods 100 cases of cerebrovascular center via femoral artery whole cerebral angiography from July, 2013 to April, 2014 in the hospital were randomly divided into conventional group and intervention group, with 50 cases in each group. Unbend brake was used in the normal group.for 12 h, and definitely stay in bed for 24 h. Intervention group during limb braking operation received nursing intervention measures： they had breaking elimination 2 b after operation, and had ambulation 8 h after operation. Patients with puncture complications and puncture comfort were compared. Results There was no statistical significance of the puncture complications and puncture comfort difference（ P 〉 0.05 ）, but there was statistical significance in the comparison of patients with postoperative complications of the postoperative lower back pain, dysuria, abdominal distension and other non puncture complications （P 〈 0.05）. Conclusion Break release time for transfemoral cerebral vascular intervention 2 h after cerebrovascular intervention and amulation 8 h after operation is feasible and safe, and can reduce and the occurrence of puncture postoperative complications, and increase patient comfort.