早期下床活动对心脏永久起搏器植入术后患者电极性能的影响
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摘要
目的探讨心脏永久起搏器植入术后患者早期3 h下床活动对电极性能的影响。方法便利抽样选取2017年3月至2018年3月在兰州大学第一医院接受单或双腔起搏器植入术后患者226例患者,均使用双极主动螺旋电极,按随机奇偶数分为观察组107例与对照组119例,观察组术后3 h下床活动,对照组术后24 h下床活动。比较两组患者术毕、出院前以及出院后1、3、6个月随访时平静状态下测定的起搏器电极参数。结果两组患者各时间点在A和V波振幅、起搏阈值、电极阻抗等方面的差异均无统计学意义(均P>0.05)。结论与心脏起搏器植入术后患者24 h下床活动相比较,在无并发症的情况下早期3 h下床活动并不影响起搏器植入后的电极性能,具有良好的临床安全性。
Objective To investigate the effects of early ambulation(three hours after the implantation surgery) on the electrode performance.Methods From March 2017 to March 2018,226 patients with single or dual chamber pacemaker implantation were selected by convenience sampling method.All patients were divided into observation group(107 cases) and control group(119 cases) by random number,the observation group got out of bed 3 hours after operation and the control group got out of bed 24 hours after operation.The parameters of pacemaker electrodes were compared between the two groups after operation,before discharge and during follow-up of 1,3 and 6 months after discharge.Results There were no significant differences in A,V wave amplitude,pacing threshold and electrode impedance between the two groups at each time point(P>0.05).Conclusions Compared with the mobilization after twenty-four hours,the mobilization three hours after pacemaker implantation does not affect the electrode performance,therefore early activities are safe and feasible.
Objective To investigate the effects of early ambulation(three hours after the implantation surgery) on the electrode performance.Methods From March 2017 to March 2018,226 patients with single or dual chamber pacemaker implantation were selected by convenience sampling method.All patients were divided into observation group(107 cases) and control group(119 cases) by random number,the observation group got out of bed 3 hours after operation and the control group got out of bed 24 hours after operation.The parameters of pacemaker electrodes were compared between the two groups after operation,before discharge and during follow-up of 1,3 and 6 months after discharge.Results There were no significant differences in A,V wave amplitude,pacing threshold and electrode impedance between the two groups at each time point(P>0.05).Conclusions Compared with the mobilization after twenty-four hours,the mobilization three hours after pacemaker implantation does not affect the electrode performance,therefore early activities are safe and feasible.
引文
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[6] 陈侃,任义荣,张阳.超高龄患者心脏起搏器植入的安全性评价[J].中国心脏起搏与心电生理杂志,2017,31(01):12-14.
[7] 陈小燕.经胸行左心室心外膜螺旋导线植入术患者一例的护理体会[J].解放军护理杂志,2017,34(05):69-70.
[8] 范子英,周春兰.体外膈肌起搏器在重度及极重度慢性阻塞性肺疾病患者肺康复中的运用[J].解放军护理杂志,2018,35(6):41-44.
[9] MIRACAPILLO G,COSTOLI A,ADDONISIO L,et al.Early mobilization after pacemaker implantation[J].J Cardiovasc Med (Hagerstown),2006,7(3):197-202.
[2] 袁扬阳,刘永花,杨爱玲,等.早期下床对主动电极起搏器植入患者舒适度的影响[J].护理学杂志,2014,29(12):34-36.
[3] MONO H G,STOKES K B.The Electrode-tissue interface:the revolutionary role of steroid elution[J].Pacing Clin Electrophysiol,1992,15(1):95-107.
[4] 李琦,田金徽,张志刚,等.心脏起搏器植入术后最佳卧床时间的 Meta 分析[J].护理学杂志,2016,31(23):20-23.
[5] 胡伟珍,苏蓝,陈秀青.经希氏束起搏患者的观察和护理[J].解放军护理杂志,2015,32(09):53-54.
[6] 陈侃,任义荣,张阳.超高龄患者心脏起搏器植入的安全性评价[J].中国心脏起搏与心电生理杂志,2017,31(01):12-14.
[7] 陈小燕.经胸行左心室心外膜螺旋导线植入术患者一例的护理体会[J].解放军护理杂志,2017,34(05):69-70.
[8] 范子英,周春兰.体外膈肌起搏器在重度及极重度慢性阻塞性肺疾病患者肺康复中的运用[J].解放军护理杂志,2018,35(6):41-44.
[9] MIRACAPILLO G,COSTOLI A,ADDONISIO L,et al.Early mobilization after pacemaker implantation[J].J Cardiovasc Med (Hagerstown),2006,7(3):197-202.