早期下床活动对永久起搏器植入术后并发症影响的Meta分析  

Meta analysis of the effect of early ambulation on complications for patients after permanent pacemaker implantation

作　　者：方雪娥[1] 李秀财[1] 胡春燕[1] 

机构地区：[1]复旦大学附属浦东医院,上海201399

出　　处：《护士进修杂志》2016年第14期1252-1257,共6页Journal of Nurses Training

基　　金：上海市浦东新区卫计委青年科技项目(编号:PW2015B-19);上海市浦东新区卫计委领先人才培养项目(编号:PWRL2014-03)

摘　　要：目的评价早期下床活动对永久起搏器植入术后并发症的影响。方法计算机检索Cochrane library、PubMed、EMBASE、Web of science、中国知网数据库、维普数据库、万方数据库等数据库中有关早期下床活动对永久起搏器植入术后并发症影响的临床对照试验，2名研究者按照纳入和排除标准选取文献，采用RevMan5．3软件进行Meta分析。结果共纳入7篇文献，合计l557例患者。Mesa分析结果显示：被动电极起搏器植入术后3-24h下床活动对电极脱位、囊袋出血发生率差异均无统计学意义（P〉0．05）；腰酸背痛、尿潴留、便秘发生率差异有统计学意义（P〈0．05）。结论被动电极起搏器植入术后早期下床活动不仅没有增加电极脱位、囊袋出血的风险，而且能降低腰酸背痛、尿潴留、便秘的发生率。Objective To evaluate the early ambulation effects on complications for patients after permanent pace maker implantation. Methods The relevant clinical control trials were retrieved from multiple electronic database in- cluding Cocbrane library, Pub Med, EMBASE, Web of science, CKNI, VIP Wanfang data. According to inclusion and exclusion criteria and standard,two researchers analyzed data by Rev Man 5.3. Results Seven papers with 1557 pa dents were included. Meta analysis results show that 3 h-24 h ambulation after implantation of passive electrode pacemaker was no statistically significant difference in the incidence of electrode dislocation, pocket bleeding （P 〉 0.05） and was statistically significant difference in the incidence of back pain, urinary retention, constipation （P〈0.05）. Conclusion Early ambulation after passive electrode pacemaker implantation did not increase the risk of electrode dislocation, pocket bleeding. The practice can reduce the incidence of back pain, urinary retention and constipa tion.

关 键 词：永久起搏器 早期下床活动 并发症 META分析 

分 类 号：R471[医药卫生—护理学] R473.5[医药卫生—临床医学]