经桡动脉冠状动脉介入治疗护理技术研究  

Nursing Techniques for Pecutaneous Interventional Angioplasty Via Radial Artery

作　　者：杨省利[1] 吕安林[1] 蔚虎文[1] 惠昭岚[1] 周小燕[1] 邵虹[1] 

机构地区：[1]第四军医大学西京医院心内科,陕西西安710032

出　　处：《解放军护理杂志》2003年第2期14-16,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的　探讨经皮桡动脉穿刺行冠状动脉介入治疗 (PCI)护理技术的可行性、实用价值和临床意义。方法　对2 0 9例经桡动脉PCI的患者围手术期采用全程特别介入护理技术。结果　全组均顺利通过手术治疗 ,无 1例发生严重并发症。桡动脉穿刺成功率为 97.5 % ,PCI成功率 98.2 % ,冠脉狭窄度从 (85 .2 8± 10 .6 6 ) %降低至 (6 .32±5 .16 ) %。总手术时程为 (6 8.90± 2 4 .32 )min。并发伤口渗血 1例 ,前臂皮下瘀斑 2例。术后 (2± 8)h生活自理 ,术后住院时间 (4.2± 2 .5 )d。To investigate the practical value and clinical significance of nursing care in pecutaneous interventional angioplasty (PCI) via radial artery.Methods Nursing techniques specific to interventional therapy were employed perioperatively in 209 patients who received PCI via radial artery.Results Angioplasty was done successfully in all patients and no complications occurred, the artery puncture rate being 97.5%, PCI success rate being 98.2%, and diameter stenosis reducing from (85.28+10.66)% to (6.32±5.16)%. The overall operation time was(68.90±24.32)min,during which blood oozing from the wound occurred in one patient and ecchymosis of the forearm was observed in two patients. The mean time of patients being able to take care of daily life was(2±8)h and mean hospital stay was(4.7±2.5)d.Conclusion Specific nursing care is of great clinical and practical importance for successful completion of PCI.

关 键 词：冠状动脉介入治疗 护理 PCI 围手术期 桡动脉穿刺 冠心病 

分 类 号：R472.9[医药卫生—护理学] R541.4[医药卫生—临床医学]