经皮肝穿刺活检术后患者缩短绝对卧床时间研究

Reduction of the bed rest time after percutaneous liver biopsy

目的探讨经皮肝穿刺活检术后患者绝对卧床时间缩短为2h的安全性。方法将160例行经皮肝穿刺活检术患者随机分为观察组和对照组,每组80例。观察组术后绝对卧床2h,对照组按常规绝对卧床6h。结果两组术后均无出血、胆漏、气胸发生;两组穿刺处渗血发生率及疼痛程度比较,差异无统计学意义(均P>0.05)。结论经皮肝穿刺活检术后患者绝对卧床时间缩短为2h不增加术后并发症,安全可行。

Objective To evaluate the safety of shortening the bed rest time from 6 hours to 2 hours after percutaneous liver biopsy. Methods A total of 160 patients were equally randomized into two groups, receiving either 2 or 6 hours of bed rest after liver biop- sy. Results None of them developed hemorrhage, bile leakage, and pneumothorax. The incidence of hemorrhage and the degree of pain intensity at puncture site had no significant differences between the two groups （P〉0.05 for both）. Conclusion Two hours of bed rest is feasible and safe for patients undergoing liver biopsy without increasing complications.