两种途径行冠脉介入治疗后使用动脉压迫器所致并发症的观察与护理  

Observation and nursing of cornplications caused by the artery oppression-hemostat after percutaneons coronary intervention(PCI) via radial and femoral artery

作　　者：黄丽萍[1] 罗利霞[1] 吴同果[1] 

机构地区：[1]广东省广州市红十字会医院心血管内科,广东广州510220

出　　处：《吉林医学》2013年第13期2555-2557,共3页Jilin Medical Journal

摘　　要：目的:观察两种途径冠脉介入治疗术后使用动脉压迫器后局部并发症的发生率及护理方法。方法:行冠脉介入治疗424例患者中经桡动脉294例,经股动脉130例,局部止血均使用止血器。比较并分析两组术后局部并发症发生情况。结果:经桡动脉组并发症明显低于经股动脉组(P<0.05)。两组均出现与使用止血器相关的新型并发症:局部水疱(8例及50例)。压迫性溃疡(2例及4例)。结论:经股动脉穿刺组患者术后局部并发症的发生率高于桡动脉组。临床护理要注意与止血器相关的新型并发症的预防及处理。Objective To explore the nursing points in local complication after percutaneous coronary intervention(PCI) via radial and femoral artery by using of the artery oppression-hemostat.Method A total of 424 patients treated by PCI were randomly divided into two groups.Patients in Group A(n=294) via radial and patients in group B(n=130) via femoral artery.They all received oppression-hemostat to stop bleeding.The rate of vascular complications were compared.Results The rate of vascular complication in group A was lower than group B(P<0.05).Some special complications linked with oppression-hemostat appeared in both groups,such as local blister(8 VS 50)and pressure ulcer(2 VS 4).Conclusion The incidence of local complications after PCI via radial was lower than that of femoral artery.Clinical nursing should pay attention to the new sort of complication linked with local oppression-hemostat

关 键 词：冠心病 介入治疗 桡动脉 股动脉 并发症 止血器 护理 

分 类 号：R473.5[医药卫生—护理学]