摘要
目的:探讨脑血管造影术后早期体位干预对患者舒适度及穿刺伤口出血的影响。方法:160例行脑血管造影术患者,按入院先后顺序编号,单号为常规组,双号为干预组,每组80例。常规组术后伤口包扎24h,砂袋压迫6~8h,患肢制动12h,平卧24h。干预组术后伤口包扎24h,砂袋压迫4-6h后,适当调整体位,12h后床旁轻微活动。比较观察两组患者的舒适及穿刺伤口出血情况。结果:干预组在腰酸背痛、术肢麻木、排尿困难、失眠等方面发生率明显低于常规组(P〈0.05);穿刺局部渗血、血肿、皮下瘀斑等两组无明显差异(P〉0.05)。结论:术后早期体位干预安全可行,提高患者舒适度。
objective: To investigate the effects of early body position intervention on comfort and puncture wound bleeding of angiography, according to t pa he tient after cerebral angiography. Methods: 160 patients with cerebral order of admission, went into regular group (odd number) and intervention group(even number), 80 cases in each group. For the regular group, patients received, postop For th erative wound dressing 24 h,sand bags oppression 6-8 h, limb braking 12 h and lying 24 h. e intervention group, patients received postoperative wound dressing 24 h,sand bags oppression 4-6 h, appropriate adjustments to the position and bedside minor activities after 12 h. Comfort level and puncture wound bleeding of patients were observed. Results; The incidence of back pain, surgical limb numbness, urinating difficulty, insomnia in the regular group were significantly lower in than those in the conventional group (P〈0.05). As for local bleeding of puncture, hematoma, ecchymosis, there were no significant differences between two groups(P〈0.05). Conclusion: The early body position intervention is safe and feasible, and could improve comfort after patient cerebral angiography.
出处
《华夏医学》
CAS
2015年第1期75-78,共4页
Acta Medicinae Sinica
基金
广西卫生厅课题资助(Z2013300)
关键词
脑血管造影术
体位干预
并发症
舒适度
cerebral angiography
body position intervention
complication
comfort level