摘要
目的；探索经股动脉穿刺的冠状动脉介入诊疗术后患者早期开始床上活动对术后长时间卧床所致的腰背部疼痛的影响。方法：将150例经股动脉穿刺的冠状动脉介入治疗的患者分为观察组（n=77）和对照组（n=73）两组采取不同的床上活动方法，通过观察与问卷调查，研究比对两种方法对并发症的发生和腰背部疼痛及睡眠的影响。结果：两组术后穿刺部位出血率比较差异无显著性意义（P〉0．05），术后10h及24h两组腰背部疼痛的程度与例数比较，观察组疼痛程度明显低于对照组（P〈0．05），观察组失眠发生率显著低于对照组（P〈0．01）。结论：经股动脉穿刺的冠状动脉介入诊疗患者术后早期床上活动不会增加术后并发症的发生，则有利于减轻患者的腰背疼痛能有效提高患者的卧位舒适度和睡眠质量。
Objective To explore the femoral artery puncture in patients after coronary intervention activities in theearly days of bed after a long time in bed due to the impact of low back pain. Methods 150 cases of femoral artery puncture percutaneous coronary intervention were divided into observa- tion group （n = 77） and control group （n = 73） groups take a different approach in bed, through observation and survey research than on two methods on the occurrence of complications and lower back pain and sleep in rats. Results The postoperative hemorrhage rate between the puncture site showed no significant （ P 〉0.05）, after 10h and 24h groups the extent of back pain compared with the number of cases, the observation group significantly decreased pain group （ P 〈0. 05） ; insomnia observation group were significantly lower than the control group （ P 〈0.02）. Conclusion The femoral artery of coronary intervention in patients with no increase in bed early postoperative complications occurred, it will help alleviate low back pain patients can improve patient comfort and quality of sleep supine.
