CAJ | 학술논문

目的：观察约束带辅助下肢制动对全脑血管造影术后患者睡眠状况的影响。方法选取行全脑血管造影术的患者400例,按随机数字表法将其分为观察组和对照组,每组各200例。对照组患者术后保持术侧肢体伸直制动12 h、平卧24 h,其余肢体可以自由活动；观察组在对照组基础上应用约束带辅助下肢制动。观察两组患者的睡眠状况。结果两组患者全脑血管造影术后睡眠质量均有下降,术后匹兹堡睡眠质量指数量表(PSQI)各项因子及总分均高于术前。术后观察组患者的 PSQI 因子睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及总分分别为(1.07±0.58),(1.02±0.89),(0.93±0.75),(0.90±0.96),(1.23±0.67),(7.73±2.82)分,低于对照组的(1.43±0.97),(1.73±0.75),(1.40±0.89),(1.43±0.89),(1.53±0.68),(9.13±4.13)分,,差异有统计学意义(t 值分别为4.505,8.627,6.440,5.726,4.444,3.959；P <0.05)。结论约束带辅助下肢制动能改善全脑血管造影术后患者睡眠状况,利于病情康复,值得推广。
목적：관찰약속대보조하지제동대전뇌혈관조영술후환자수면상황적영향。방법선취행전뇌혈관조영술적환자400례,안수궤수자표법장기분위관찰조화대조조,매조각200례。대조조환자술후보지술측지체신직제동12 h、평와24 h,기여지체가이자유활동；관찰조재대조조기출상응용약속대보조하지제동。관찰량조환자적수면상황。결과량조환자전뇌혈관조영술후수면질량균유하강,술후필자보수면질량지수량표(PSQI)각항인자급총분균고우술전。술후관찰조환자적 PSQI 인자수면질량、입수시간、수면시간、수면효솔、수면장애급총분분별위(1.07±0.58),(1.02±0.89),(0.93±0.75),(0.90±0.96),(1.23±0.67),(7.73±2.82)분,저우대조조적(1.43±0.97),(1.73±0.75),(1.40±0.89),(1.43±0.89),(1.53±0.68),(9.13±4.13)분,,차이유통계학의의(t 치분별위4.505,8.627,6.440,5.726,4.444,3.959；P <0.05)。결론약속대보조하지제동능개선전뇌혈관조영술후환자수면상황,리우병정강복,치득추엄。
Objective To observe the restraint strap with auxiliary lower limbs braking effect on sleep status of patients after global cerebral angiography. Methods A total of 400 patients, who performed with global cerebral angiography admitted at Department of Neurology, Chinese PLA General Hospital from January to August 2014, were randomly divided into observation group and control group, each with 200 cases. The patients in the control group maintained operative limb braking straight for 12 hours and then kept prostration for 24 hours, but the rest of body could move freely. The patients of observation group received the auxiliary brake application with lower limbs extremity restraint strap based on the care of the control group. Sleep status of the two groups were observed and compared. Results The patients in two groups suffered decreased quality of sleep, but the patient of observation group acquired (1. 07 ± 0. 58), (1. 02 ± 0. 89), (0. 93 ± 0. 75), (0. 90 ± 0. 96), (1. 23 ± 0. 67) and (7. 73 ± 2. 82) in the PSQI scores of each factor including sleep quality, bedtime, hour of sleep, sleep efficiency, dysssomnia and total PSQI score lower (1. 43 ± 0. 97), (1. 73 ± 0. 75), (1. 40 ± 0. 89), (1. 43 ± 0. 89), (1. 53 ± 0. 68) and (9. 13 ± 4. 13) in the control group (t = 4. 505, 8. 627, 6. 440, 5. 726, 4. 444, 3. 959,respectively;P < 0. 05). Conclusions The usage of restraint strap after global cerebral angiography can decrease the incidence rate of sleep disorder, further promote the rehabilitation of patients, so widely clinical application should be taken into consideration.