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目的:探讨粘性弹力绷带在永久性起搏器植入术后的应用对相关并发症及患者舒适度和平均住院日的影响。方法:选取2011年1月~2014年5月于本院行永久性起搏器安置术的患者54例,分对照组和观察组。结果:对照组发生囊袋出血1例,腰背痛9例,切口痛11例,失眠8例;平均住院日8.9±2.3天;观察组发生腰背痛2例,切口痛4例,失眠2例两组患者比较,平均住院日6.2±1.9天。并发症差异无统计学意义(P>0.05);舒适度及平均住院日比较差异有统计学意义(P<0.05)。结论:永久性起搏器植入术后,用粘性弹力绷带加压包扎,局部不用沙袋压迫,不增加囊袋出血的风险,但可以增加患者舒适度,缩短住院时间。
OBJECTIVE: To investigate the effect of viscoelastic bandage on the related complications, patient comfort and average length of stay after implantation of permanent pacemaker. Methods: From January 2011 to May 2014, 54 patients with permanent pacemaker placement in our hospital were divided into control group and observation group. Results: In the control group, there were 1 case of capsular bag bleeding, 9 cases of low back pain, 11 cases of incision pain and 8 cases of insomnia; the average length of stay was 8.9 ± 2.3 days; 2 cases of low back pain, 4 cases of incision pain and 2 cases of insomnia Cases of two groups of patients, the average length of stay of 6.2 ± 1.9 days. There was no significant difference in complication between two groups (P> 0.05). There was significant difference in comfort and average length of stay (P <0.05). CONCLUSION: After permanent pacemaker implantation, bandage with viscous elastic bandage is used to compress the bandage without the pressure of punching bag locally. The risk of capsular hemorrhage is not increased, but patient comfort and hospital stay can be shortened.