陈雨卉,
周艳丽,
刘蕊^,
大连医科大学附属第一医院 心律失常科, 辽宁 大连 116011

详细信息 作者简介: 陈雨卉(1997-), 女, 硕士研究生。E-mail: yuhuich@163.com



通讯作者: 刘蕊, 主管护师。E-mail: 693624126@qq.com 中图分类号: R541.7⁺4;R473.5


摘要:目的探讨永久起搏器植入术后自制压迫装置在临床应用的效果。方法选取2020年3月至11月在大连医科大学附属第一医院行永久起搏器植入术后患者182例，随机分为观察组（91例）和对照组（91例）。观察组采用自制压迫装置压迫伤口，对照组采用传统沙袋压迫。比较两组患者的术后并发症发生情况（电极移位、囊袋血肿、皮下瘀斑），及患者舒适度（肩背疼痛、切口坠胀感、排尿困难、入睡困难）和医护人员满意度。结果两组患者电极移位的发生率无统计学差异（P>0.05），观察组患者皮下瘀斑的发生率较对照组低（P < 0.05）；观察组患者舒适度和医护人员满意度均高于对照组（P < 0.05）。结论自制压迫装置用于永久起搏器植入术后伤口压迫止血可减少患者术后相关并发症的发生率，同时可以提高患者舒适度和医护人员满意度，值得临床推广使用。
关键词: 压迫装置/
起搏器/
自制装置


Abstract:Objective To explore the clinical effect of self-made compression device after operation of implanting permanent pacemaker. Methods A total of 182 patients with pacemaker implantation in our hospital from March 2020 to November 2020 were randomly divided into observation group (91 cases) and control group (91 cases). The observation group was used self-made compression device in postoperative care, while the control group was used traditional sandbag compression. The postoperative complications (electrode displacement, pocket hematoma, subcutaneous ecchymosis), comfort (shoulder and back pain, incision swelling, dysuria, difficulty in falling asleep) and satisfaction of medical staff were observed. Results There was no significant difference in the incidence of electrode displacement between the two groups (P>0.05). The incidence of pocket hematoma and subcutaneous ecchymosis in the observation group was lower than that in the control group (P < 0.05), and the comfort and satisfaction of medical staff in the observation group were higher than those in the control group (P < 0.05). Conclusion The self-made compression device is a worthy method replacing traditional sandbag compression in postoperative care of permanent pacemaker implantation.
Keywords:compression device/
pacemaker/
self-made device

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https://journal.dmu.edu.cn/data/article/export-pdf?id=dlykdxxb_20210512