经桡动脉途径行冠状动脉介入治疗的效果观察  

Observation on curative effect of patients accepting coronary artery intervention via radial artery pathway

作　　者：刘利贤[1] 

机构地区：[1]泸州医学院附属医院

出　　处：《全科护理》2010年第7期572-573,共2页Chinese General Practice Nursing

摘　　要：[目的]观察经桡动脉途径行冠状动脉介入治疗的效果。[方法]选择203例拟行冠状动脉造影的冠心病病人,随机分为观察组98例和对照组105例,观察组行经桡动脉介入治疗;对照组按照常规途径行经股动脉介入治疗。观察并比较两组病人穿刺部位出血情况、术后穿刺点压迫时间、术后尿潴留发生率、一次动脉穿刺成功率。[结果]观察组病人术后出血发生率、尿潴留发生率均低于对照组(P<0.05);观察组术后穿刺点压迫时间短于对照组(P<0.05);两组术后无一例发生死亡、紧急冠状动脉闭塞行旁路血管移植术等严重并发症,观察组术后桡动脉搏动良好,无局部并发症。[结论]经桡动脉途径行冠状动脉介入治疗是安全、有效。Objective：To observe the curative effect of patients accepting coronary artery intervention via radial artery pathway. Methods： A total of 203 patients with coronary artery disease who prepared to accept coronary arteriography were divided into test group （98 cases） and control group （105 cases）. Patients of test group accepted intervention via radial artery pathway. Patients of control group accepted routine intervention via femoral artery. Then hemorrhage of puncturing site, postoperative compression time of puncture point, incidence of postoperative urine retention and one time achievement ratio of artery puncture of the two group cases were observed and compared. Results： The incidence of postoperative hemorrhage and urine retention of test group cases were lower than that of control group （P〈0.05）. Compression time of puncture point in patients of test group was shorter than that of control group （P〈0.05）. No one died after operation. None had complicated with severe complications such as emergency coronary occlusion to carry out bypass blood vessel grafting. Patients of test group had better radial pulse after operation and no local complications. Conclusion： To carry out coronary artery intervention therapy via radial artery pathway is safe and effective for patients with coronary artery disease.

关 键 词：桡动脉穿刺 股动脉穿刺 冠状动脉介入治疗 

分 类 号：R473.5[医药卫生—护理学]