文章摘要

改良医用固定带提高永久起搏器术后的有效固定

作者: 1陈 海燕, 1丁 小伟
1 镇江市第一人民医院心内科,江苏 镇江 212000
通讯: 陈 海燕 Email: 2264860773@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.02.022

摘要

目的:改良永久性心脏起搏器植入术后医用固定带,解决术后固定带容易发生移位、滑脱问题。方法:选取镇江市第一人民医院心内科2018年下半年96例接受永久性心脏起搏器植入治疗的患者,观察组使用改良后的医用固定带固定,对照组使用传统医用固定带固定。结果:改良固定带的使用明显提高了患者术后固定有效率,减少了囊袋出血、电极脱位等并发症的发生,大大缩短了包扎时间,两组差异有统计学意义观察组术后6 h内、术后6 h后固定有效率均为100%,对照组术后6 h内、术后6 h后固定有效率分别为75.00%,79.17%,差异有统计学意义(P<0.01)。术后并发症囊袋出血观察组发生率为2.08%,对照组为6.25%;术后电极脱位观察组未发生,对照组发生率为2.08%,差异有统计学意义(P<0.05)。两组患者固定带包扎标准时间比较:观察组高效39例(81.25%),中效5例(10.42%),低效4例(8.33%),总标准时间44例(91.67%);对照组高效0例(0%),中效13例(27.08%),低效35例(72.92%),总标准时间13例(27.08%),差异有统计学意义(P<0.05)。结论:永久性心脏起搏器植入术后的患者使用改良后的医用固定带固定,在提高术后固定有效率、减少术后并发症、缩短包扎时间上有显著效果。
关键词: 永久性心脏起搏器;改良后的医用固定带;滑脱;移位

Effect of modified medical fixation band on effective fixation after implantation of permanent cardiac pacemaker

Authors: 1CHEN Haiyan, 1DING Xiaowei
1 Department of Cardiology, Zhenjiang First People’s Hospital, Zhenjiang Jiangsu 212000, China

CorrespondingAuthor:CHEN Haiyan Email: 2264860773@qq.com

Abstract

Objective: To modify medical fixation band after implantation of permanent cardiac pacemaker and to solve the problem of displacement and slippage of fixed band after operation. Methods: A total of 96 patients with permanent cardiac pacemaker implantation in our department in the second half of 2018 were selected. The observation group was fixed with modified medical fixation band, while the control group was fixed with traditional medical fixation band. Results: Improved the use of fixed with significantly increased postoperative patients with fixed efficiently, reduce the pouch the occurrence of complications such as bleeding, electrode dislocation, greatly shortens the time of wound and differences between the two groups was statistically significant postoperative observation group after 6 h, 6 h after fixed effectiveness is 100%, the control group after 6 h, 6 h after postoperative fixed effectiveness respectively is 75.00%, 79.17%, the difference was statistically significant (P<0.01). The incidence rate of postoperative complication bursa hemorrhage was 2.08% in the observation group and 6.25% in the control group. Postoperative electrode dislocation did not occur in the observation group, while the incidence in the control group was 2.08%, with statistically significant difference (P<0.05). Comparison of standard time of fixed bandaging between the two groups: 39 cases (81.25%) with high efficiency, 5 cases (10.42%) with medium efficiency, 4 cases (8.33%) with low efficiency, and 44 cases (91.67%) with total standard time in the observation group. In the control group, there were 0 cases with high efficiency (0%), 13 cases with medium effect (27.08%), 35 cases with low efficiency (72.92%), and 13 cases with total standard time (27.08%), the difference was statistically significant (P<0.05). Conclusion: The modified medical fixation band can improve the effective fixation of patients after implantation of permanent cardiac pacemaker. It has a significant effect in improving postoperative fixation efficiency, reducing postoperative complications, and shortening the time of dressing.
Keywords: permanent cardiac pacemaker; modified medical fixation band; slippage; displacement