心脏电生理介入术后患者早期活动影响因素及促进策略的研究进展

doi:10.3761/j.issn.0254-1769.2026.16.017

摘要/Abstract

摘要：

心脏电生理介入术后患者早期活动的安全实施受股血管穿刺部位止血闭合效果、鞘管规格、抗凝状态及血管并发症风险等因素影响。该文对手动压迫联合加压包扎、“8”字缝合、使用血管闭合装置，以及不同策略的适用场景、局限与决策要点进行综述，并从术式与风险分层、护理观察重点、分阶段早期活动指导及延续性护理等方面提出建议，以期为心脏电生理介入术后患者早期活动的安全实施和护理决策优化提供参考。

关键词: 心脏电生理介入, 早期活动, 股血管, 止血闭合, 综述, 护理

Abstract:

The safe implementation of early activity for patients after cardiac electrophysiological interventions is influenced by the effectiveness of femoral vascular access-site hemostasis and closure，sheath size，anticoagulation status，and the risk of vascular complications. This article provides a review of manual compression combined with pressure bandaging，figure-of-eight suture，and the use of vascular closure devices，as well as the appropriate scenarios，limitations，and key decision-making factors for these different strategies. It also offers recommendations regarding surgical techniques and risk stratification，key nursing observation points，guidance on phased early mobilization，and follow-up care，aiming to provide a reference for the safe implementation of early activity and the optimization of nursing decision-making for patients after cardiac electrophysiological interventions.

Key words: Cardiac Electrophysiological Intervention, Early Activity, Femoral Vessels, Hemostasis and Closure, Review, Nursing Care

戴薇, 陆剑嵘, 张蕾, 翟颖, 张佳佳, 鲍青. 心脏电生理介入术后患者早期活动影响因素及促进策略的研究进展[J]. 中华护理杂志, 2026, 61(16): 2277-2282.

DAI Wei, LU Jianrong, ZHANG Lei, ZHAI Ying, ZHANG Jiajia, BAO Qing. Research progress on factors influencing early mobilization and strategies to promote it in patients following cardiac electrophysiological interventions[J]. Chinese Journal of Nursing, 2026, 61(16): 2277-2282.

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