经桡动脉冠状动脉介入术后勿需卧床对并发症的影响

摘要

Objective:To discuss the relationship between no need to bedridden and quality of life after trans-radial coronary intervention. Methods:Select-ed 188 patients with TRI in our department from January 2015 to May 2016 and randomly divided them into observation group and control group. The pa-tients in control group were treated with bed rest for 24 hours, bed urine and puncture of the side of the wrist without any load. The observation group could get out of bed after surgery and went to the toilet and the braking requirements are the same. The incidence of bleeding, comfort, arrhythmia and lower ex-tremity arterial and venous abnormalities were compared between the two groups. Results:There was no significant statistical difference in the incidence of bleeding and arrhythmia between the two groups (P>0. 05). In the control group, there were hidden arteries and veins in the lower limbs. The urine reten-tion, back pain, anxiety, lower extremity swelling rate of the observation group were lower than that of the control group (P<0. 05). Conclusion:Immediate out-of-bed after TRI does not increase the complication. On the contrary, it can improve the patient’ s comfort and the quality of life.%目的：：探讨经桡动脉冠状动脉介入术( TRI)后勿需卧床与生活质量的关联性。方法：选取我科2015年1月~2016年5月行TRI的患者188例,将其随机等分为观察组与对照组,对照组术后卧床24 h,床上大小便,穿刺侧腕部制动,勿负重；观察组术后即可下床,大小便如厕,同样的制动要求。比较两组患者穿刺处出血、舒适感、心律失常、下肢动静脉异常发生率。结果：两组患者穿刺处出血、心律失常发生率差异无统计学意义(P>0.05),对照组有下肢动静脉血栓的隐患,观察组的患者尿潴留、腰背酸痛、焦虑、下肢肿胀发生率低于对照组(P<0.05)。结论：TRI后即刻下床并不会使并发症增加,而患者的舒适感却有显著提高,生活质量有质的提升。