经桡动脉与股动脉途径行急诊PCI护理的比较分析  

Comparative analysis of nursing of percutaneous coronary intervention between transradial and transfemoral approaches

作　　者：桑彩娣[1] 张宜生[1] 鲍婷婷[1] 顾爱芹 徐红[1] 

机构地区：[1]江苏省泰州市人民医院,江苏泰州225300

出　　处：《实用临床医药杂志》2012年第16期36-38,共3页Journal of Clinical Medicine in Practice

摘　　要：目的对比急性心肌梗死(AMI)患者经桡动脉与股动脉穿刺行急诊冠状动脉介入(PCI)治疗护理的优缺点。方法行急诊PCI治疗103例AMT,其中经桡动脉(TRI)介入组53例,经股动脉介入(TFI)49例。对比其术后并发症的发生率,住院天数,护理量,术后患者心理躯体舒适度等进行统计学数据与分析。结果 2组病例基本特征比较差异无统计学意义,而并发症则经桡动脉组低于股动脉组,分别为3.8%和8.2%(P<0.05),患者住院时间明显短于股动脉组(P<0.05),护理人员工作量也明显少于股动脉组(P<0.05),术后患者的心理躯体舒适度评估明显高于股动脉组。结论经桡动脉途径行急诊PCI治疗是安全、有效的方法。与股动脉途径比较,经桡动脉途径可减少并发症的发生,缩短住院天数,患者恢复快,减轻护理工作量,节约护理资源,不但有益于患者,亦有益于护理人员。Objective To evaluate the advantages and disadvantages of emergent percutaneous coronary intervention（PCI） nursing with transradial and transfemoral approaches in patients with acute myocardial infarction（AMI）.Methods A total of 103 AMI patients with PCI were selected and divided into transradial coronary intervention（TRI） group（n=53） and transfemoral coronary intervention（TFI） group（n=49）.Incidence of postoperative complications,duration of hospital stay,nursing workload,mental and physical comfort after emergent PCI between two groups were statistically analyzed.Results There was no statistical difference of basic characteristics between the two groups.The complications was lower in TRI group（3.8%） than in TFI group（8.2%）（P〈0.05）.The hospital duration was significantly shorter in TRI group than in TFI group（P〈0.05）.The nursing workload in TRI group was less than that in TFI group（P〈0.05）.Postoperative mental and physical comfort of patients in TRI group was obviously higher than that in TFI group.Conclusion The emergent PCI treatment with transradial approach is safe and effective.Compared with TFI approach,TRI can reduce the incidence of complications,shorten the duration of hospital stay,improve a rapid recovery of patients,reduce nursing workload and economize nursing resources.Thus TRI is good for both of patients and nurses.

关 键 词：桡动脉 股动脉 急诊PCI 护理 

分 类 号：R472.3[医药卫生—护理学]