远端桡动脉穿刺对冠状动脉介入手术患者心功能及心理状态的影响  

Effect of distal radial artery puncture on cardiac function and psychological state of patients undergoing percutaneous coronary intervention

作　　者：王磊[1] 卢甲 张雪亚[1] Wang Lei;Lu Jia;Zhang Xueya(Henan Chest Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]河南省胸科医院,河南郑州450000

出　　处：《临床心身疾病杂志》2025年第2期19-22,共4页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号LHGJ20220222)。

摘　　要：目的 探讨远端桡动脉穿刺对冠状动脉介入手术患者心功能以及心理状态的影响。方法将2022年5月~2023年12月收治的80例冠心病患者作为研究对象,采用随机数字表法将其分为对照组(常规桡动脉穿刺)和观察组(远端桡动脉穿刺),各40例。比较两组患者手术相关指标(穿刺时间、术后止血时间、穿刺成功率)、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]和心功能指标[左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)],并统计两组患者术后并发症发生率。结果 观察组患者穿刺时间、术后止血时间短于对照组(P<0.01);而两组患者穿刺成功率比较,差异无统计学意义(P>0.05)。术后1个月,两组患者SAS、SDS评分较手术前降低,且观察组低于对照组(P<0.01);两组患者LVESD、LVEDD较手术前降低,LVEF较手术前升高,且观察组优于对照组(P<0.01)。观察组患者术后并发症发生率低于对照组(P<0.05)。结论 在冠状动脉介入手术患者中采用远端桡动脉穿刺效果较好,手术安全性较高。Objective To explore the effect of distal radial artery puncture(DRAP)on cardiac function and psychological state of patients undergoing percutaneous coronary intervention(PCI).Methods Eighty patients with coronary heart disease(CHD)treated from May 2022 to Dec.2023 were selected as research objects and were divided into control(conventional radial artery puncture)and observation(DRAP)group according to random number table method,with 40 ones in each.Such indexes were compared between two groups as operation-related indicators(puncture time,time to postoperative hemostasis,puncture success rate),psychological states(Self-rating Anxiety Scale[SAS]and Self-rating Depression Scale[SDS]scores),cardiac functions(left ventricular end-systolic diameter[LVESD],left ventricular end-diastolic diameter[LVEDD],and left ventricular ejection fraction[LVEF]),the incidence rates of postoperative complications in both groups counted.Results The puncture time and time to postoperative hemostasis were shorter in observation than control group(P<0.01),intergroup difference in the puncture success rate wasn't statistically significant(P>0.05).One month after operation,the SAS and SDS scores of both groups lowered compared with pre-operation and those were lower in observation than control group(P<0.01);LVESDs and LVEDDs lowered and LVEFs elevated in both groups,the observation group was superior to controls(P<0.01).The incidence rate of postoperative complications was lower in observation than control group(P<0.05).Conclusion The effect the DRAP in patients undergoing the PCI is better and surgical safety higher.

关 键 词：远端桡动脉穿刺 冠状动脉 介入治疗 心功能 心理状态 

分 类 号：R541.4[医药卫生—心血管疾病] R395.6[医药卫生—内科学]