摘要
目的探讨经导管肝动脉化疗栓塞术(TACE)术后适当的穿刺肢体制动和卧床时间。方法2003年2月-2005年3月,将住院行TACE的236例患者分为对照组100例和实验组136例。对照组术后穿刺肢体制动和卧床时间分别为8h和24h。实验组术后穿刺肢体制动和卧床时间分别为5h和12h。比较2组患者48h内与穿刺置管有关的出血、血肿、动脉血栓形成情况和腰酸背痛、下肢麻木、失眠、烦躁和尿潴留情况发生的差异。结果2组患者出血、血肿、动脉血栓形成3种并发症的发生情况比较差异无显著性,P>0.05。尿潴留、腰酸背痛、失眠、下肢麻木和烦躁情况进行比较P均<0.01。结论TACE术后穿刺肢体制动5h,卧床时间12h是安全的,而且可以减少并发症,提高患者的舒适度。
Objective To study the proper braking and bed rest time for patients with TACE operation. Methods Divided 236 patients with TACE operation into the control group （100 cases） and the experimental group （136 cases） randomly. In the control group, the braking time and the bed rest time was 8 hours and 24 hours respectively, while in the experimental group, they were 5 hours and 12 hours respectively. Compared incidence rate of complication between the 2 groups. Results The differences of complications which relevant to puncture between the two groups were not significant, P 值 = 0. 419, while the complications which irrelevant to the puncture between the two groups were significant,P〈0.01. Conclusion It is a safe method for patients with TACE operation to keep braking 5 hours and bed rest 12 hours.
