叶璐娟 钟琳 刘兴燕 仲香兰 董井秀

江西省赣州市人民医院血管疝外科，江西赣州 341000

[摘要] 目的 研究自制简易下肢制动袋在下肢动脉疾病介入术后的应用。 方法 随机选取2015年8月～2018年8月我科下肢动脉疾病患者120例，依据随机数字表法分为两组：对照组给予基础常规化护理干预（60例），观察组给予自制简易下肢制动袋（60例），统计分析两组患者的疾病知晓情况、护理满意度、术后并发症的发生情况及二次手术情况、住院时间。 结果 观察组患者的疾病知晓评分、护理满意度评分均显著高于对照组（P<0.05），术后并发症的发生率、二次手术率分别为3.3%（2/60）、3.3%（2/60）均显著低于对照组的13.3%（8/60）、16.7%（10/60）（P<0.05），住院时间显著短于对照组（P<0.05）。 结论 自制简易下肢制动袋在下肢动脉疾病介入术后的应用效果好，更能有效提升患者的疾病知晓率、护理满意度，降低患者术后并发症的发生率、二次手术率，缩短患者的术后康复时间、住院时间，值得临床应用推广。

[关键词] 护理干预;自制简易下肢制动袋;下肢动脉疾病;介入手术

[中图分类号] R473          [文献标识码] B          [文章编号] 1673-9701（2019）33-0140-03

[Abstract] Objective To study the application of self-made simple lower limb brake bag in the intervention of lower extremity arterial disease. Methods A total of 120 patients with lower extremity arterial disease in our department from August 2015 to August 2018 were randomly selected and divided into two groups according to the random number table. The control group received basic routine nursing intervention（60 cases）， and the observation group was given self-made simple lower limb brake bags（60 cases）. The disease awareness， nursing satisfaction， the occurrence of postoperative complications and secondary surgery， hospital stay of patients in the two groups were statistically analyzed. Results The disease awareness score and nursing satisfaction score of the observation group were significantly higher than those of the control group（P<0.05）. The incidence of postoperative complications and secondary operation rate of the observation group were 3.3%（2/60） and 3.3%（2/60）， respectively， which were significantly lower than 13.3%（8/60）and 16.7%（10/60） in the control group（P<0.05）. The hospitalization time in the observation group were significantly shorter than those of the control group（P<0.05）. Conclusion The self-made simple lower limb brake bag has a good application effect in lower extremity arterial disease after intervention， which can effectively improve the patient's disease awareness rate， nursing satisfaction， reduce the incidence of postoperative complications and the rate of secondary surgery， shorten the postoperative recovery time and hospitalization time of patients. It is worthy of clinical application.

[Key words] Nursing intervention; Self-made simple lower limb brake bag; Lower extremity arterial disease; Interventional surgery

股動脉穿刺为血管腔内治疗常用入路，术后穿刺点侧患肢应伸直制动12 h，但因在制动期间患者依从性差，下肢过早活动导致穿刺点出血、皮下血肿、导管移位甚至脱落[1-3]，目前临床上对下肢制动没有较好的方法，查阅相关文献对这方面的研究较少。为了对下肢动脉疾病患者介入术后进行更好的干预，将患者的并发症发生率降低到最低限度，有效减轻患者病痛及经济负担，促进患者早日康复，本研究对2015年8月～2018年8月我科下肢动脉疾病患者120例的临床资料进行统计分析，对自制简易下肢制动袋在下肢动脉疾病介入术后的应用进行研究。

1 资料与方法

1.1 一般资料

随机选取2015年8月～2018年8月我科下肢动脉疾病患者120例，依据随机数字表法分为两组：对照组（60例）给予基础常规化护理干预，观察组（60例）在基础常规化护理干预基础上自制简易下肢制动袋护理干预。……