不间断抗凝治疗患者心房颤动射频消融术后体位及制动时间的探讨  

Exploration of postoperative position and immobilization time after radiofrequency ablation of atrial fibrillation in patients on uninterrupted anticoagulation therapy

作　　者：周文悦[1] 石继慧[1] 刘畅[1] 马艾[1] 刘玮 马晓桦 桑才华[1] 马长生[1] ZHOU Wenyue;SHI Jihui;LIU Chang;MA Ai;LIU Wei;MA Xiaohua;SANG Caihua;MA Changsheng(Deparment of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心律失常中心一病区,100029

出　　处：《心肺血管病杂志》2024年第4期348-352,共5页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探讨在不间断抗凝治疗的心房颤动患者行射频消融术后不同绝对平卧时间的应用效果。方法:将2022年6月至2022年9月收治的300例行心房颤动射频消融术治疗并且不间断抗凝治疗的患者根据术后绝对平卧时间进行分组,其中对照组实施绝对平卧8h,观察组实施绝对平卧2h,分别对两组患者的腰背疼痛情况、血管并发症、尿潴留情况、术肢麻木、舒适度、24h睡眠时间和患者满意度进行比较分析。结果:与对照组相比,观察组患者的术后4~8h的腰背疼痛评分和术肢麻木情况均更低(P<0.05),且舒适度评分、满意度评分和24h睡眠时间更高(P<0.001),血管并发症无增加。结论:不间断抗凝治疗患者心房颤动射频消融术后实施绝对平卧2h,可有效减轻其腰背疼痛程度和术肢麻木的发生,提升患者睡眠时间和卧床期舒适度和患者满意度,并不增加出血、血肿等血管并发症,临床应用效果显著。Objective:To evaluate the effect of different absolute bed rest time after radiofrequency ablation(RFCA)in patients with atrial fibrillation(AF)under uninterrupted anticoagulation.Methods:Three hundred patients with AF treated with RFCA from June 2022 to September 2022 were enrolled and grouped according to the absolute bed rest time after the procedure,which performed 8-hour absolute bed rest in the control group and 2-hour absolute bed rest in the observation group.We comparatively analyzed low back pain,vascular complications,urinary retention,comfort,numbness of the operated limbs,sleeping duration within 24 hours,and patient satisfaction between two groups.Results:Compared with control group,the patients in the observation group had lower low back pain score(NRS)during 4-8 hours after procedure and fewer urinary retention and operated limbs numbness(P<0.05).The comfort score(GCQ),satisfaction score,and sleeping duration within 24 hours were higher in the observation group(P<0.001).The vascular complications were not increased in the observation group.Conclusions:The implementation of 2-hour absolute bed rest time after RFCA in AF patients under uninterrupted anticoagulation effectively reduced low back pain and operated limbs numbness,improved sleeping duration,comfort during the bed rest period,and patient satisfaction and did not increase rates of vascular complications such as bleeding and hematoma,which shows significant effectiveness in clinical application.

关 键 词：心房颤动 不间断抗凝治疗 射频消融术 制动时间 

分 类 号：R54[医药卫生—心血管疾病]