病人因素与冠心病介入术后血管并发症的相关性研究  

Relationship analysis on patient factors and vascular complications after interventional operation on coronary disease

作　　者：关青 王军辉 王利群 张净雯 薛卫斌[2] 

机构地区：[1]吉林医药学院护理学院,吉林吉林132013 [2]第四军医大学西京医院,陕西西安710032

出　　处：《吉林医药学院学报》2010年第5期252-254,共3页Journal of Jilin Medical University

基　　金：吉林医药学院创新科研基金课题(院资2009-12)

摘　　要：目的探讨患者因素、并存疾病与冠心病介入术后出现血管并发症的相关性。方法观察918例患者腹股沟局部情况,评估施压前、压力去除后、拔管后12、24 h是否出现血管并发症。记录患者特征及并存疾病。结果常见血管并发症有:淤斑、血肿、出血;淤血的发生与年龄明显相关;高血压者出现淤血可能性降低;体表面积显著影响血肿形成。结论护理冠心病介入术后患者时,应高度关注高龄、女性、体表面积小、伴随并存疾病者,采取积极措施,预防血管并发症的发生发展。Objective To study the relationship among patient factors,coexisting diseases and VCs after PCI operation.Methods Groin areas of 918 patients were observed to find out whether VCs occurred before and after compression,12 and 24 hours after tube removing and the patients′ characteristics and coexisting diseases were recorded.Results The frequently occurring VCs included ecchymosis,hematoma and bleeding.Age was significantly associated with ecchymosis,whereas hypertension was associated with a decreased level of ecchymosis.Body surface area had a significant influence on hematoma.Conclusion Nurses caring for post-PCI patients who were old,female and had smaller body surface areas should take positive measures to prevent VCs.

关 键 词：冠心病介入治疗 血管并发症 患者因素 并存疾病 

分 类 号：R471[医药卫生—护理学]