经股动脉径路和经桡动脉径路冠心病介入诊疗术后外周血管并发症发生原因及相关护理  

Analysiis for the reason and related nursing of incidence of peripheral vascular complications after interventional treatment of transfemoral artery approach and transradial artery approach in treatment of coronary artery disease

作　　者：程浩 王馨 闫美辰 叶茂[3] CHENG Hao;FANG Xin;YAN Meichen(Department of Intervention Therapy,The First Hospital Affiliated to China Medical University,Liaoning,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院介入手术室,沈阳市110000 [2]中国医科大学附属第一医院重症医学科,沈阳市110000 [3]中国医科大学附属第一医院骨科,沈阳市110000

出　　处：《河北医药》2018年第19期3035-3037,共3页Hebei Medical Journal

基　　金：青年科学基金项目(编号:81200935)

摘　　要：目的探讨经股动脉径路和经桡动脉径路冠心病介入诊疗术后外周血管并发症发生原因及护理措施。方法冠心病患者114例作为研究对象,根据其自愿选择的介入方式的不同分为对照组(n=74)和观察组(n=70),对照组患者行经股动脉径路插管冠状动脉介入治疗,观察组行桡动脉径路插管冠状动脉介入治疗,观察2组患者的术后并发症发生状况、发生原因以及临床治疗效果、患者满意度。结果对照组患者并发症发生率显著低于对照组,临床治疗效果显著优于对照组,住院时间显著缩短,临床治疗效果和患者满意度显著提高,差异有统计学意义(P<0.05)。结论冠心病介入治疗采用桡动脉径路方式可有效减少患者术后外周血管并发症发生率,提高临床疗效和患者满意度,值得在临床应用推广。Objective To investigate the occurrence reason and nursing intervention of peripheral vascular complications after interventional diagnosis and treatment operation of transfemoral artery approach and transradial artery approach in treatment of coronary artery disease. Methods A total of 144 patients with coronary artery disease who underwent percutaneous coronary intervention（ PCI） in our hospital from January 2015 to December 2015 were divided into control group（ n = 74） and observation group（ n = 70） according to different intervention treatment modes. The patients in control group were treated by PCI via femoral artery approach,however the patients in observation group were treated by PCI via transradial approach. The incidence of postoperative complications, occurrence reason, clinical therapeutic effects and patient ＇s satisfaction degree were observed and compared between the two groups. Results The incidence rate of complications in observation group was significantly lower than that in control group（ P〈0. 05）,and the clinical therapeutic effects in observation group were superior to those in control group（ P〈0. 05）,the length of staying in hospital in observation group was significantly shorter than that in control group（ P〈0. 05）,moreover,the clinical therapeutic effects and the satisfaction degree of patients in observation group were significantly increased,as compared with those in control group（ P〈0. 05）.Conclusion The percutaneous coronary intervention via radial approach can effectively reduce the incidence rate of peripheral vascular complications after operation,and enhance the clinical efficacy and patient＇s satisfaction degree,therefor,which is worthy of clinical application and promotion.

关 键 词：冠心病介入诊疗术 经股动脉径路 经桡动脉径路 外周血管并发症 临床治疗效果 

分 类 号：R473.5[医药卫生—护理学]