首页|简化手指操提高患者冠脉造影术中舒适度及减少相关并发症的作用

简化手指操提高患者冠脉造影术中舒适度及减少相关并发症的作用

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目的:采取前瞻性研究方法,对经桡动脉行冠状动脉造影术的患者开展术前简化手指操训练,观察手指操对于提高术中桡动脉穿刺成功率、预防桡动脉痉挛及撕裂、降低患者疼痛感及减轻术肢肿胀的效果.方法:选取2022年于黄石市中心医院经桡动脉行冠脉造影术的302例患者作为研究对象,随机分为干预组(151例)和对照组(151例).干预组于术前接受常规护理和简化手指操干预,对照组仅接受常规护理,观察2组患者术中桡动脉穿刺成功率、桡动脉痉挛及撕裂发生率、患者疼痛感及手术前后术肢周径变化.结果:干预组术中桡动脉穿刺成功率较高、桡动脉痉挛及撕裂发生率较低、患者疼痛感较轻、术后术肢周径增加幅度较小(P<0.05).结论:应用简化手指操能够提高冠脉造影术中桡动脉穿刺成功率、预防桡动脉痉挛及撕裂、减轻患者的疼痛感及术后术肢肿胀程度.
Effect of simplified finger exercise on improvement of a patient's comfort degree and decrease related complications during transradial coronary procedures
Objective:To evaluate the effects of simplified finger exercise on improvement of comfort degree and decrease related complications during transradial coronary procedures.Methods:This study randomized 302 patients who underwent a transradial coronary procedure in Huangshi central hospital during 2022 to one of the following 2 groups,(i)simplified finger exercise in addition to routine pre-procedure care(test group,151 patients),(ii)routine pre-procedure care(control group,151 patients).The achievement ratio of radial puncture,incidence of radial artery spasm and dissection(RAS,RAD),change of limb circumference,and painfulness of the limb were observed and analyzed between two groups.Results:Compared to the control group,test group had a higher achievement ratio of radial puncture,lower incidence of RAS and RAD,slighter tumidness of limb and patient felt less pain in test group.Conclusion:Simplified finger exercise has a positive effect on improvement of a patient's comfort degree and decrease related complications during transradial coronary procedures.

finger exercisecoronary artery angiographiesradial spasm

张羿、皮文婕、陈芬、赵琳、蔡丽芹

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黄石市中心医院(湖北理工学院附属医院)心血管内科,湖北黄石 435000

黄石市中心医院(湖北理工学院附属医院)介入导管室,湖北黄石 435000

手指操 冠脉造影 桡动脉痉挛

2024

暨南大学学报(自然科学与医学版)
暨南大学

暨南大学学报(自然科学与医学版)

CSTPCD北大核心
影响因子:0.996
ISSN:1000-9965
年,卷(期):2024.45(6)