AMI患者行急诊PTCA加支架术卧床时间的观察  

Study of Bed Resting Time after Emergency Percutaneous Transluminal Coronary Angioplasty in Patients with Acute Myocaidial Infarction

作　　者：崔星慧[1] 郑洪芝[1] 孙金红[1] 

机构地区：[1]潍坊医学院附属医院心内科,山东潍坊261031

出　　处：《潍坊医学院学报》2005年第4期250-251,共2页Acta Academiae Medicinae Weifang

摘　　要：目的观察急性心肌梗死(AMI)患者行急诊直接经皮冠脉内成型(PTCA)+支架术后卧床时间与早期康复之间关系。方法选择行急诊PTCA+支架术的AMI患者120例,随机分为实验组和对照组。实验组术后绝对卧床12h,48h后可在床边站立;对照组需卧床24h,术后5d才可床边站立。观察两组患者便秘、腰背痛、焦虑、抑郁、穿刺处出血、心绞痛发生率。结果实验组便秘、腰背痛、术后焦虑、抑郁发生率显著低于对照组(P<0.05),两组穿刺处出血、心绞痛发生率差异无显著性(P>0.05)。结论行PTCA加支架术的AMI患者缩短术后卧床时间,利于患者早期康复。Objective To study the relationship between bed rest time after emergency percutaneous coronary angioplasty（PTCA） plus atent and early rehabilistion in patieras with acute myocardial infarction（AMI）.Methods One hundred tweety AMI patients who had emergency PTCA plus stent were randomly divided by study group and control group.The absolute bed rest time was 12 hours as to patients in study group and 24 hours in the control group after the procedure.They may stand by the bed 48 hours in the study group and 5 days in the control group after the procedure.Results Constipation,backache,anxiety,and depression after the procedure were significantly lower in the study group than in the control group.There were no difference as to hemorrhage ot the puncture site and frequency of angina between two groups.Conclusion It may do benefit to AMI patients＇ early rehabilitation after PTCA plus stent if decreasing bed rest time.

关 键 词：心肌梗死 急性 PTCA+支架植入术 卧床时间 

分 类 号：R542.22[医药卫生—心血管疾病]