冠脉介入治疗患者的鼻烟窝远端桡动脉穿刺效果及对NRS评分的影响  

Effectiveness of Distal Radial Artery Puncture in the Snuff Fossa in Patients Undergoing Coronary Intervention and the Impact on NRS Score

作　　者：胡永杰 李飞[1] HU Yongjie;LI Fei(Department of Cardiology,Pizhou People´s Hospital,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州市人民医院心内科,江苏邳州221300

出　　处：《中外医疗》2023年第22期30-34,共5页China & Foreign Medical Treatment

摘　　要：目的分析鼻烟窝远端桡动脉穿刺对冠状动脉(简称冠脉)介入治疗患者的应用效果及对疼痛数字评分(numerical rating scale,NRS)的影响。方法回顾性分析2021年1月—2023年6月在邳州市人民医院心内科接受冠脉介入治疗的96冠状动脉粥样硬化性心脏病(简称冠心病)患者的资料,根据动脉穿刺的部位将其分为两组,各48例,对照组采用常规桡动脉穿刺,观察组采用鼻烟窝远端桡动脉穿刺,对比两组治疗效果、并发症、临床指标以及术后NRS评分。结果观察组总有效率为95.83%,较对照组的81.25%更高,差异有统计学意义(χ^(2)=5.031,P<0.05);观察组并发症发生率为2.08%,较对照组的16.67%更低,差异有统计学意义(χ^(2)=4.414,P<0.05);观察组术后包扎、住院时间相均较对照组用时更短,差异有统计学意义(P<0.05);观察组穿刺成功率和手术成功率分别为93.75%、93.75%,略低于对照组的100.00%、97.92%,差异无统计学意义(χ^(2)=1.376、0.261,P>0.05);观察组术后NRS评分较对照组更低,差异有统计学意义(P<0.05)。结论对冠脉介入治疗患者采用鼻烟窝远端桡动脉穿刺能够有效减少患者并发症,缓解患者术后疼痛情况,缩短患者术后包扎及住院时间,加快患者的康复进程,对穿刺成功率和手术成功率的影响较小,可推广。Objective To analyze the effect of distal radial artery puncture of the snuff fossa on patients undergoing coronary intervention and its impact on the Numerical Rating Scale(NRS)of pain.Methods Retrospectively analyzed the data of 96 patients with coronary atherosclerotic heart disease(referred to as coronary heart disease)who underwent coronary intervention in the Department of Cardiology of Pizhou People´s Hospital from January 2021 to June 2023,and divided them into two groups of 48 cases each according to the site of arterial puncture.In the control group,conventional radial artery puncture was used,and in the observation group,distal radial artery puncture of the snuff fossa was used,and the therapeutic effects,complications,clinical indexes,and postoperative NRS scores of the two groups were compared.Results The total effective rate of 95.83%in the observation group was higher than that of 81.25%in the control group,and the difference was statistically significant(χ^(2)=5.031,P<0.05).The complication rate of 2.08%in the observation group was lower than 16.67%in the control group,and the difference was statistically significant(χ^(2)=4.414,P<0.05).Postoperative dressing and hospitalization time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The puncture success rate and surgical success rate of the observation group were 93.75%and 93.75%,respectively,which were slightly lower than those of the control group,which were 100.00%and 97.92%,and the difference was not statistically significant(χ^(2)=1.376,0.261,P>0.05).The postoperative NRS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of distal radial artery puncture of the snuff fossa in patients with coronary intervention can effectively reduce the complications of patients,alleviate the postoperative pain of patients,shorten the postoperative dressings and hospitalization time

关 键 词：冠脉介入治疗 远端桡动脉穿刺 应用效果 疼痛评分 

分 类 号：R543[医药卫生—心血管疾病]