改良螺旋式桡动脉止血器在经桡动脉行冠状动脉介入术后护理中的应用  

Application of Modified Spiral Radial Artery Hemostat in the Postoperative Care of Transradial Coronary Intervention

作　　者：赵文欣 程艳娜 刘继军 丁小勇 ZHAO Wenxin;CHENG Yanna;LIU Jijun;DING Xiaoyong(School of Nursing,Henan University of Traditional Chinese Medicine,Zhengzhou 450042,Henan Province,China;Department of Cardiology,988 Hospital of Joint Logistics Support Force,Zhengzhou 450042,Henan Province,China;Department of Cardiothoracic Surgery,988 Hospital of Joint Logistics Support Force)

机构地区：[1]河南中医药大学护理学院,河南郑州450042 [2]联勤保障部队第988医院心内科,河南郑州450042 [3]联勤保障部队第988医院心胸外科

出　　处：《解放军护理杂志》2021年第6期90-92,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨改良螺旋式桡动脉止血器在经桡动脉行冠状动脉介入(transradial coronary intervention,TRI)术后护理中的应用效果。方法便利抽样法选取2020年6-12月在某院心内科行TRI的术后患者262例患者为研究对象。按时间先后将分为对照组和观察组,每组131患者。对照组采用未改良螺旋式止血器压迫,而观察组采用改良螺旋式止血器压迫。比较两组患者术后止血效果,术后1、2(第1次减压)、4(第2次减压)及6 h(撤除止血器)的腕部及手掌的疼痛、麻木、肿胀程度;分析两组使用止血器前、后血氧饱和度差异;统计两组患者使用止血器后压力性损伤发生情况。结果两组患者在出血、血肿、重新调整止血器压迫止血及腕部压力性损伤上的差异均无统计学意义(均P>0.05);术后1、2、4 h的疼痛、麻木、肿胀程度评分差异均有统计学意义(均P<0.001),但术后6 h,上述各项评分差异均无统计学意义(P>0.05);使用止血器前、后,脉搏血氧饱和度差异无统计学意义(P>0.05)。结论改良螺旋式桡动脉止血器能显著降低TRI术后患者腕部、手掌及手指的疼痛、麻木、肿胀程度,提高患者舒适度。Objective To explore the application of modified spiral radial artery hemostat in the postoperative care of transradial coronary intervention(TRI).Methods A total of 262 patients who underwent TRI in a cardiology department from June to December 2020 were selected and divided into two groups according to the operation time by convenience sampling method.The control group(n=131)used the traditional screw hemostatic device,while the experimental group(n=131)used the modified screw hemostatic device.The hemostatic effect and the pain,numbness,swelling of the wrists as well as palms at 1,2(the first decompression),4(the second decompression),and 6 h(removal of the hemostatic device)after the operation were compared between the two groups.The blood oxygen saturation(SpO 2)difference before and after using the hemostatic device was analyzed between the two groups.The occurrence of pressure injury after using the hemostatic device were compared between the two groups.Results There were no significant differences in bleeding,hematoma,pressure hemostasis by readjusted hemostat and wrist pressure injury between 2 groups(all P>0.05).There were statistically significant differences in the pain,numbness and swelling scores at 1,2 and 4 h after surgery(all P<0.001),but there were no statistically significant differences in the above scores at 6 h after surgery(P>0.05).There was no significant difference in pulse oxygen saturation before and after using hemostatic device(P>0.05).Conclusions The modified spiral radial artery hemostatic device can significantly improve the pain,numbness and swelling of the wrist,palm and fingers of patients after TRI.

关 键 词：冠状动脉介入术 桡动脉 止血器 舒适度 护理 

分 类 号：R472.4[医药卫生—护理学]