疼痛评估法预防经桡动脉穿刺行冠状动脉介入术后前臂疼痛血肿的护理研究  

Prevention of postoperative hematoma and pain on forearm after coronary intervention via radial artery puncture route guided by pain assessment

作　　者：曲丽 周伟妤 谷冰 于国洋 王莉莉 Qu Li;Zhou Weiyu;Gu Bing(The Second Hospital of Dalian Medical University,Liaoning 116023 China)

机构地区：[1]大连医科大学附属第二医院

出　　处：《全科护理》2018年第18期2195-2197,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨疼痛评估法预防经桡动脉穿刺行冠状动脉介入术后前臂血肿的效果。[方法]选取经桡动脉穿刺行冠状动脉介入术病人96例,根据随机数字表法将病人分为观察组及对照组各48例,对照组围术期行介入科常规性护理,观察组围术期应用疼痛综合性评估量表评价病人肢体疼痛情况,并根据评估结果给予病人针对性护理干预,比较两组病人疼痛评分、肢体肿胀情况、前臂血肿发生率、焦虑发生率、应用镇静剂情况、满意率情况。[结果]观察组病人穿刺后疼痛评分、肢体肿胀直径低于对照组(P<0.05),而疼痛持续时间、肿胀持续时间、局部皮肤温度增高持续时间、平均住院时间短于对照组(P<0.05)。观察组前臂血肿发生率、出血率、焦虑发生率、使用镇静剂率低于对照组(P<0.05),而病人治疗舒适率及满意率高于对照组(P<0.05)。[结论]疼痛综合性评估量表能有效评价经桡动脉穿刺径路行冠状动脉介入术后肢体疼痛情况,能有效预防肢体血肿发生,提高病人治疗舒适性及满意度。Objective：To explore the prevention effect of postoperative hematoma and pain on forearm after coronary intervention via radial artery puncture route guided by pain assessment.Methods：A total of 96 patients with coronary intervention via radial artery puncture route were divided into observation group（n=48）and control group（n=48）according to the random number table method.The control group received routine pain assessment in the perioperative period and the observation group received targeted nursing interventions according to the evaluation by the pain comprehensive evaluation scale.The pain scores,limb swelling,forelimb hematoma incidence rate,anxiety incidence rate,sedation,and satisfaction of the two groups were compared.Results：The pain score and limb swelling diameter of the observation group were lower than those of the control group（P〈0.05）.The duration of pain,swelling,local skin temperature increases,the average hospital stays were shorter than those of the control group（P〈0.05）.The forearm hematoma incidence rate,bleeding rate,anxiety incidence rate,and the use of sedation in the observation group were lower than those of the control group（P〈0.05）.The comfort rate and satisfaction rate of the observation group were higher than those of the control group（P〈0.05）.Conclusions：The pain comprehensive assessment scale could effectively evaluate the limb pain after coronary intervention via radial artery puncture route.It could effectively prevent the occurrence of limb hematoma and improve the comfort and satisfaction of the patients.

关 键 词：经桡动脉穿刺 冠状动脉介入 疼痛评估 前臂血肿 

分 类 号：R473.6[医药卫生—护理学]