Singh N, Kuganesan K, Goode E, Ricci A J
Rouge Valley Health System, Centenary Health Centre, Toronto, Ontario.
Can J Cardiol. 1998 Oct;14(10):1223-7.
To assess the feasibility and safety of early ambulation 3 to 4 h after diagnostic 7 French cardiac catheterization.
Randomized, single-blind assignment to one of 3, 4 or 6 h ambulation postcardiac catheterization groups.
Tertiary care community hospital in an urban region.
Eight hundred and seventy-four consecutive inpatients and out-patients presenting for routine diagnostic cardiac catheterization.
Hematoma formation and other vascular complications recorded at the time of discharge and 24 h later.
No significant difference in hematoma formation rates was noted among patients mobilized at 3 h (3.6%), 4 h (4.8%) or 6 h (3.2%). Late hematoma formation occurred in 2.3% of patients. Other vascular complications were very rare. Reported rates of hematoma formation varied significantly (P < 0.05) among physicians, ranging from 0.9% to 8.0%.
Early ambulation of patients 3 to 4 h after routine diagnostic 7 French cardiac catheterization is both safe and feasible. These findings could result in more efficient recovery bed utilization, reduced nursing costs and improved patient compliance with bed rest.
评估在进行7法式诊断性心导管插入术后3至4小时早期下床活动的可行性和安全性。
随机、单盲分配至心导管插入术后3、4或6小时下床活动组之一。
城市地区的三级护理社区医院。
874例连续的因常规诊断性心导管插入术前来就诊的住院患者和门诊患者。
在出院时及24小时后记录血肿形成及其他血管并发症情况。
在术后3小时（3.6%）、4小时（4.8%）或6小时（3.2%）下床活动的患者中，血肿形成率无显著差异。2.3%的患者出现迟发性血肿形成。其他血管并发症非常罕见。不同医生报告的血肿形成率差异显著（P<0.05），范围为0.9%至8.0%。
在进行常规7法式诊断性心导管插入术后3至4小时让患者早期下床活动既安全又可行。这些发现可提高恢复床位的使用效率，降低护理成本，并提高患者对卧床休息的依从性。
