经桡动脉与股动脉行冠状动脉造影术后护理观察  

Clinic nursing observations after coronary angiography through radial artery or femoral artery

作　　者：梁婷[1] 尹丽娟[1] 杜娟[1] 

机构地区：[1]四川省医学科学院.四川省人民医院心内科,四川成都610072

出　　处：《实用医院临床杂志》2012年第6期168-170,共3页Practical Journal of Clinical Medicine

摘　　要：目的比较经桡动脉与经股动脉两种途径行冠状动脉造影术(coronary angiography,CAG)后患者的护理特点,探讨经桡动脉途径造影的有效性、安全性及临床应用价值。方法 120例拟诊冠心病者,选择经桡动脉途径(桡动脉组)或经股动脉途径(股动脉组)行CAG,比较两种途径造影检查围手术期的并发症发生率、焦虑发生率及平均住院时间。结果桡动脉组和股动脉组的并发症发生率分别为5.0%和16.7%,焦虑发生率分别为8.3%和26.7%,平均住院时间分别为(1.0±0.2)天和(3.0±0.5)天,差异均有统计学意义(P<0.05)。结论经桡动脉途径行CAG安全性好,并发症少,住院时间短,有很好的临床应用与推广价值。Objective To investigate the nursing characteristics between transradial approach （TRA） and transfemoral ap- proach （TFA） in coronary angiography in order to compare the effectiveness and safety between the two approaches. Methods One hundred and twenty patients with suspicious coronary artery disease were randomly assigned into TRA or TFA groups to undergo coro- nary angiography. The incidence of perioperation complications, anxiety neurosis and the average in-hospital time were compared be- tween the two groups. Results The incidence of peri-operation complication, anxiety neurosis and average in-hospital time in the TRA group were 5.0% ,8. 3 % and （ 1.0±0. 2 ） day, respectively while the parameters in the TFA group were 16.7% , 26.7% and （3.0 ± 0. 5 ） day, respectively. Differences of the parameters between the two groups were statistically significant. Conclusion The TRA is su- perior to the TFA in coronary angiography.

关 键 词：冠状动脉造影术 桡动脉 股动脉 护理 

分 类 号：R816.2[医药卫生—放射医学]