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目的:旨在探讨不予体位限制和穿刺处沙袋压迫对全麻下行介入术后的先心患儿的影响。方法:将2007年1月至2008年12月的50例全麻下行介入术清醒后送入CCU(冠心病监护病房)先心患儿随机分成2组(即实验组和对照组),两组均用弹力绷带加压包扎穿刺处的前提下,对照组按常规给患儿取平卧位,头偏向一侧,穿刺侧肢体制动,并沙袋压迫穿刺处8~12 h,平卧12 h或以上;实验组患儿穿刺侧肢体不予制动,穿刺处也不沙袋压迫,患儿可取任意体位(包括由父母抱在怀中休息),观察两组患儿舒适度、穿刺处出血并发症、患儿父母、医护人员等的影响。结果:实验组患儿的舒适度、对患儿父母、医护人员的影响明显优于对照组,而穿刺处出血并发症方面两组无显著差异。结论:不予体位限制和穿刺处沙袋压迫对全麻下行介入术后先心患儿的影响是增加患儿的舒适度,减少患儿父母的焦虑,减轻医护人员的工作负荷,而穿刺处出血并发症不增加。
Objective: To investigate the impact of non-postural restriction and sandbag compression on patients with congenital heart failure after general anesthesia intervention. Methods: From January 2007 to December 2008, 50 children undergoing general anesthesia for conscious intervention were randomly divided into 2 groups (experimental group and control group), CCU (coronary care unit) Under the premise of elastic bandage punctured by pressure banding, the control group was routinely given the supine position, the head biased to one side, the puncture side of the limbs braked, punctured puncture place sandbag 8 to 12 h, supine 12 h Or above; experimental group puncture side of the limbs do not brake, not puncture the puncture bag oppression, the child may take any position (including parental resting in the arms), observe the two groups of children with comfort, bleeding at the puncture Symptoms, children’s parents, health care workers and other effects. Results: The comfort of children in experiment group was significantly better than that of control group on the parents and medical staffs, but no significant difference was found between the two groups in bleeding complications. CONCLUSION: No postural restriction and puncture puncture at the puncture site can reduce the anxiety of the parents and reduce the work load of the medical staff. Complications do not increase.