首页|选择性尺动脉持续循环压迫降低老年冠状动脉介入治疗患者桡动脉闭塞的效果观察

选择性尺动脉持续循环压迫降低老年冠状动脉介入治疗患者桡动脉闭塞的效果观察

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目的 探讨选择性尺动脉持续循环压迫降低老年冠心病行冠状动脉介入治疗患者桡动脉闭塞的效果.方法 选取行冠状动脉介入治疗的450例老年冠心病患者为研究对象,采用随机数字表法分为对照组和试验组,每组225例.对照组术后采取桡动脉非闭塞性压迫,试验组在对照组基础上采用定制的脉搏波血压计进行选择性尺动脉持续循环压迫,持续4 h.比较2组患者穿刺处出血、疼痛、拇指皮温、护士工作量、延时取压率、桡动脉血流速度、术后24 h桡动脉闭塞率和狭窄率等指标.结果 2组患者穿刺处出血、疼痛、拇指皮温、护士工作量和延时取压率等指标比较,差异无统计学意义(P＞0.05).与对照组比较,试验组在解除血压计前0.5 h桡动脉血流速度较快,术后24 h桡动脉闭塞率和狭窄率较低,差异有统计学意义(P＜0.05).结论 在不增加患者出血风险、疼痛、护士工作量和延时取压率的前提下,采用定制脉搏波血压计选择性持续循环压迫4 h可以增加桡动脉血供,降低术后桡动脉闭塞率和狭窄率.
Efficacy of selective ulnar artery continuous circulatory compression in reducing radial artery occlusion in elderly patients with coronary heart disease undergoing coronary intervention
Objective To investigate the impact of selective ulnar artery continuous circulatory compression in reducing radial artery occlusion in elderly patients undergoing coronary intervention for coronary artery disease.Methods A total of 450 elderly patients with coronary heart disease undergo-ing coronary intervention were selected as study objects,and were randomly divided into control group and experimental group,with 225 patients in each group.The control group received non-occlusive ra-dial artery compression postoperatively,while the experimental group underwent selective ulnar arteria continuous circulatory compression using a customized pulse wave sphygmomanometer on the basis of the control group for a duration of 4 hours.Puncture site bleeding,pain,thumb skin temperature,nursing workload,delayed pressure measurement rate,radial artery blood flow velocity,and rates of radial artery occlusion and stenosis were compared between the two groups 24 hours postoperatively.Results There were no significant differences in puncture site bleeding,pain,thumb skin tempera-ture,nursing workload,and delayed pressure measurement rate between the two groups(P＞0.05).However,the experimental group presented significantly faster radial artery blood flow velocity 0.5 hours before removing the blood pressure monitor,as well as lower rates of radial artery occlusion and stenosis 24 hours post operatively compared to the control group(P＜0.05).Conclusion The use of a blood pressure monitor for selective continuous circulatory compression for a duration of 4 hours can enhance radial artery blood supply and reduce rates of postoperative radial artery occlusion and stenosis in elderly coronary intervention patients under the premise of not increasing the risk of bleeding,pain,nurse workload and delayed pressure extraction.

coronary heart diseasepercutaneous coronary interventionulnar arterycon-tinuous circulatory compressionradial artery occlusionradial artery stenosis

周小平、乔积民、李凯、王志梅

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南京医科大学附属南京医院/南京市第一医院心内科,江苏南京,210006

南京医科大学附属南京医院/南京市第一医院急诊科,江苏南京,210006

冠心病 冠状动脉介入治疗 尺动脉 持续循环压迫 桡动脉闭塞 桡动脉狭窄

国家自然科学基金青年科学基金国家实用新型专利江苏省南京市卫生科技发展基金江苏省南京市第一医院星火培育护理发展基金

82200385ZL201921841348.8YKK23121

2024

10.7619/jcmp.20233706

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子：1.543
ISSN：1672-2353
年,卷(期)：2024.28(3)
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