经皮冠状动脉内介入治疗术后病人卧位及卧床时间研究

Study on position and time in bed for patients after percutaneous Coronaryintervention therapy

目的探讨经皮冠状动脉内介入治疗 (PCI)术后病人的卧床类型及卧床时间对病人舒适度及并发症的影响。方法将病人分为A、B两组 ,A组为对照组 ,术后采用常规医嘱进行护理 ,穿刺点弹性绷带包扎并且用 1kg沙袋压迫 8h ,保持术侧肢体制动 ,平卧 2 4h后下床活动 ;B组为实验组 ,术后床头抬高 30°,穿刺点弹性绷带包扎 ,术侧肢体伸直可水平移动 ,根据病人需要且无血管并发症者取术侧卧位、仰卧位、半卧位交替 ,12h下床活动。结果两组病人术后并发症的发生率无差异 ,而不良反应B组病人明显少于A组。结论B组的护理方法提高病人的舒适度 。

Objective To explore the influence on patients' comfort and complications based on their position and time in bed after percutaneous coronary intervention.Methods The patients were divided into two groups randomly.In control group,postoperativenursing included their operative limb at rest;puncture point dressed in elastieity bandage and pressed 8 hours by 1 kg sandbag.The patient will not allow getting up within 24 hours.in experimental group,patients'bed-head sloped up 30 degree,puncture point was dressed in elasticity bandage,the straighten operativelimb could move horizontally.patients withoutvascular complications could take operation lateralposition.horizontal position and hemi-horizontal position.They got up after 12 hours operation.Result There is no significant difference in complication incidence between the two group,the adverse reaction in group B is much lower than that of group A.Conclusion Nursing methods in group enhance patients degree of comfort,reducetheir mental pressure and complication.