冠状动脉介入治疗术后患者卧床体位及卧床时间的研究  

The effect of in-bed position and period on easement,adverse reaction and complications in patients undergone coronary artery intervention

作　　者：赖丽萍[1] 蒋志梅[1] 

机构地区：[1]粤北人民医院,512026

出　　处：《内蒙古中医药》2011年第13期149-150,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨冠心病介入治疗术后患者的体位及卧床时间对患者舒适度,不良反应及局部出血的影响。方法:将行冠状动脉介入治疗患者523倒(已排除大面积心肌梗死、Ⅲ°心衰及低血压患者)分为实验组和对照组。实验组根据患者病情的严重程度,术后卧床时间调整为12小时,术侧肢体制动6小时,体位根据需要取舒适位;对照组术后一律平卧、保持术侧下肢平直制动24小时。结果:两组患者舒适度有显著差别(P<0.05),两组术后的局部出血发生率无统计学意义。结论:实验组的护理方法缩短了患者手术后的卧床时间,减少了患者手术后的不适,体现了人性化的护理。Aim To investigate the effect of in-bed position and period on easement, adverse reaction and haemorrhagia in patients undergone coronary artery intervention. Methods Patients undergone coronary artery intervention （those with extensive myocardial infarction, Ⅲ° heart failure, and hypotension were exluded ） were divided into experimental group and control group. In experimental group, the in-bed period was adjusted to 12 hours and operative limb was restrained for 6 hours, with in-bed position as comfortable as requirement. In con- trol group, pationts were kept in supine position with operative limb restrained for 24 hours. Results The degree of easement between two group was significant different（P〈0.01） while the occurrence of haemorrhagia between two groups was not. Conclusions The humanistic nursing in experimental group shortened the in-bed period and reduced the uncomfortable levels in postoperative patients.

关 键 词：冠状动脉 介入治疗 舒适体位 护理 

分 类 号：R541.4[医药卫生—心血管疾病]