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早期活动对经股静脉心导管射频消融术后患者的疗效

许桢桢 王丽姿

中国康复理论与实践2018,Vol.24Issue(3):363-366,4.
中国康复理论与实践2018,Vol.24Issue(3):363-366,4.DOI:10.3969/j.issn.1006-9771.2018.03.021

早期活动对经股静脉心导管射频消融术后患者的疗效

Effect of Early Ambulation after Radiofrequency Catheter Ablation via Femoral Vein Approach

许桢桢 1王丽姿1

作者信息

  • 1. 南方医科大学珠江医院心血管内科,广东广州市510282
  • 折叠

摘要

Abstract

Objective To investigate the effect of early ambulation on the comfort and complications in patients undergoing radiofre-quency catheter ablation via femoral vein approach. Methods From April,2016 to April,2017,120 patients were randomly assigned into control group(n=40),group A(n=40)and group B(n=40).The control group received the routine care of remaining bed rest for eight hours with the affected leg immobilized at least four hours.Group A ambulated after four hours of the affected leg immobili-zation,and group B changed their position after ablation and ambulated after four hours of bed rest.They were assessed with the General Comfort Questionnaire,Numerical Rating Scale of back pain and State Anxiety Inven-tory.Their vascular complications were recorded. Results The incidence of bleeding and hematoma was not significantly different among the groups(P>0.05).Group B was more comfortable than the control group(P<0.05).Compared with the control group,groups A and B were less in back pain intensity(F>10.376,P<0.001),and had less anxiety(t=3.278,P<0.05),less incidence of limb numbness, difficulty falling asleep, and loss of appetite and dysuria (χ2>6.409, P<0.05). Group B was the best among them. Conclusion There is little risk of early physical activity and ambulation in the vascular complications after radiofrequen-cy catheter ablation via femoral vein approach,which may reduce their discomfort.

关键词

心律失常/心导管射频消融术/早期活动/舒适/血管并发症/护理

Key words

arrhythmia/radiofrequency catheter ablation/early ambulation/comfort/vascular complications/nursing

分类

医药卫生

引用本文复制引用

许桢桢,王丽姿..早期活动对经股静脉心导管射频消融术后患者的疗效[J].中国康复理论与实践,2018,24(3):363-366,4.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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