约束带在颈动脉支架植入术后肢体制动的应用  

Study of the applying of limb restrictive measures after carotid angioplasty and stenting

作　　者：赵翠松[1] 覃英雪[1] 梁冰[1] 韦春芳[1] 韦海清[1] 

机构地区：[1]广西医科大学第一附属医院神经内科,广西南宁530027

出　　处：《护士进修杂志》2008年第7期583-584,共2页Journal of Nurses Training

基　　金：广西自治区卫生厅科研项目(合同号Z2005053)

摘　　要：目的探讨经股动脉穿刺植入颈动脉支架术后提高患者舒适度及肢体制动措施。方法将65例颈动脉支架植入术后患者作为研究对象,分为两组,所有患者均接受制动体位摆放相关知识指导和肢体约束带应用介绍,以知情同意使用约束带进行肢体辅助制动的34例作为观察组,不同意或中途放弃使用约束带的31例为对照组,观察两组患者制动结束时发生穿刺点出血、血肿、腰酸背痛、肢体麻木、睡眠障碍的例数。结果观察组出现穿刺部位出血血肿、腰酸背痛、肢体麻木、睡眠障碍的现象明显低于对照组(P<0.05)。结论约束带辅助制动可减轻患者制动所致的心理压力,提高舒适度,达到安全有效的制动效果。Objective To investigate the safe and comfortable limb restrictive measures after carotid angioplasty and stenting （CAS）. Method Sixty-five patients undergoing CAS were divided into the control group （n=31） and the observed group （n= 34）. Both groups were given the instruction on limb restrictive measure and applying of restraint straps. The observed group was given restraint straps for prophylactic restriction. The occurrence of bleeding, hematoma with sore waist and aching in the waist and the back, limbs＂ numbness and bad sleeping were observed and compared between the two groups. Result In the observed group, the occurrence rate of occurred bleeding and hematoma with sore waist and aching in the waist and the back, limbs＂ numbness and bad sleeping is smaller than that of the control group （P〈0. 05）. Conclusion Restraint strap is a safe, effective and comfortable mean for patients accepted carotid angioplasty and stenting treatment.

关 键 词：约束带 颈动脉支架植入术 护理 

分 类 号：R473.5[医药卫生—护理学] R815[医药卫生—临床医学]