解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2014年
22期
74-76
,共3页
张爱琴%王轶%朱菊华%陆怡雯
張愛琴%王軼%硃菊華%陸怡雯
장애금%왕질%주국화%륙이문
心脏起搏器%特制背心%早期活动方案%上肢深静脉血栓%预防
心髒起搏器%特製揹心%早期活動方案%上肢深靜脈血栓%預防
심장기박기%특제배심%조기활동방안%상지심정맥혈전%예방
cardiac pacemaker%special designed vest%early activity program%upper extremity deep venous thrombosis(UEDVT)%prevention
目的：探讨特制背心配合早期活动方案预防心脏永久起搏器植入术后上肢深静脉血栓（upper extremity deep venous thrombosis ，UEDVT）的效果及对电极安全的影响。方法2011年8月至2014年3月，在上海市第七人民医院心内科行心脏永久起搏器植入手术的患者150例，按随机数字表法分为3组，实验1组、实验2组、对照组各50例。实验1组术后穿特制背心，遵循早期活动方案活动；实验2组采用起搏器植入术后护理常规，术后增加穿特制背心，72 h后下床活动；对照组采用起搏器植入术后护理常规，不穿背心，72 h后下床活动。评价并比较3组患者U ED V T及电极脱位发生率的差异。结果3组患者UEDVT发生率的差异有统计学意义（P＜00．5），其中实验1组的发生率最低；3组患者均未发生电极脱位。结论特制背心配合早期活动方案能有效降低U ED V T的发生率，且并不增加电极脱位发生率，值得在临床推广应用。
目的：探討特製揹心配閤早期活動方案預防心髒永久起搏器植入術後上肢深靜脈血栓（upper extremity deep venous thrombosis ，UEDVT）的效果及對電極安全的影響。方法2011年8月至2014年3月，在上海市第七人民醫院心內科行心髒永久起搏器植入手術的患者150例，按隨機數字錶法分為3組，實驗1組、實驗2組、對照組各50例。實驗1組術後穿特製揹心，遵循早期活動方案活動；實驗2組採用起搏器植入術後護理常規，術後增加穿特製揹心，72 h後下床活動；對照組採用起搏器植入術後護理常規，不穿揹心，72 h後下床活動。評價併比較3組患者U ED V T及電極脫位髮生率的差異。結果3組患者UEDVT髮生率的差異有統計學意義（P＜00．5），其中實驗1組的髮生率最低；3組患者均未髮生電極脫位。結論特製揹心配閤早期活動方案能有效降低U ED V T的髮生率，且併不增加電極脫位髮生率，值得在臨床推廣應用。
목적：탐토특제배심배합조기활동방안예방심장영구기박기식입술후상지심정맥혈전（upper extremity deep venous thrombosis ，UEDVT）적효과급대전겁안전적영향。방법2011년8월지2014년3월，재상해시제칠인민의원심내과행심장영구기박기식입수술적환자150례，안수궤수자표법분위3조，실험1조、실험2조、대조조각50례。실험1조술후천특제배심，준순조기활동방안활동；실험2조채용기박기식입술후호리상규，술후증가천특제배심，72 h후하상활동；대조조채용기박기식입술후호리상규，불천배심，72 h후하상활동。평개병비교3조환자U ED V T급전겁탈위발생솔적차이。결과3조환자UEDVT발생솔적차이유통계학의의（P＜00．5），기중실험1조적발생솔최저；3조환자균미발생전겁탈위。결론특제배심배합조기활동방안능유효강저U ED V T적발생솔，차병불증가전겁탈위발생솔，치득재림상추엄응용。
Objective To discuss the effect of special designed vest in corporate early stage activity in pre‐vention upper extremity deep venous thrombosis (UEDVT) after patients had cardiac pacemaker implanta‐tion and its influence of electrode security .Methods Totally 150 patients with cardiac pacemaker implanta‐tion were selected and randomly divided into experimental Group 1 ,experimental Group 2 and control group with 50 cases in each group .Patients in Group 1 weared the special designed vest after the implanta‐tion;those in Group 2 were treated with conventional nursing after the implantation ,and also weared the special designed vest ,and can ambulate after 72 hours;those in the control group were treated with conven‐tional nursing after the implantation without wearing the vest ,and can ambulate after 72 hours .Then com‐pare the difference in the incidence rate of the UEDVT and the electrode dislocation between the 3 groups . Results There was statistical significance of UEDVT incidence rate between 3 groups (all P<0 0.5) ,and the Group 1 had the lowest incidence of UEDVT .Furthermore ,no group had electrode dislocation .Conclu‐sion T he special designed vest gives assistance in the early activity program w hich can effectively reduce the UEDVT incidence rate and ensure the safety of the electrode ,and it’s worthwhile for clinical trial .
