中国医学创新2024，Vol.21Issue(22) ：72-75.DOI:10.3969/j.issn.1674-4985.2024.22.017

经桡动脉入径行经皮冠脉介入术后不同穿刺点压迫时间对疼痛及并发症的影响

Effect of Different Puncture Point Compression Time on Pain and Complications after Percutaneous Coronary Intervention through the Radial Artery Pathway

黄红燕 聂伟琳 程晔 方弘 戴晓芬 苏素萍
中国医学创新2024，Vol.21Issue(22) ：72-75.DOI:10.3969/j.issn.1674-4985.2024.22.017
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经桡动脉入径行经皮冠脉介入术后不同穿刺点压迫时间对疼痛及并发症的影响

Effect of Different Puncture Point Compression Time on Pain and Complications after Percutaneous Coronary Intervention through the Radial Artery Pathway

黄红燕 1聂伟琳 1程晔 1方弘 2戴晓芬 2苏素萍2
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作者信息

  • 1. 厦门大学附属心血管病医院心内六科 福建 厦门 361000
  • 2. 厦门大学附属心血管病医院心内一科 福建 厦门 361000
  • 折叠

摘要

目的:探讨经桡动脉入路行经皮冠脉介入术(PCI)后穿刺点最佳压迫时间.方法:选择2023 年 1-5 月厦门大学附属心血管病医院收治的 210 例行桡动脉路径行PCI的患者为研究对象,按照信封法分为 4 h组(71 例)、5 h组(70 例)和 6 h组(69 例).三组分别为术后桡动脉穿刺口压迫 4、5、6 h.比较三组疼痛程度和并发症发生情况.结果:三组穿刺点疼痛评分比较,差异有统计学意义(P<0.001);4 h组疼痛评分低于 5 h组、6 h组(P<0.001),5 h组患者疼痛评分低于 6 h组,差异均有统计学意义(P=0.004).三组穿刺部位不同压迫时间对出血、血肿、水疱、迷走神经反射、前臂肿胀程度等并发症无影响,差异均无统计学意义(P>0.05).结论:经桡动脉入径行PCI后穿刺点最佳压迫时间为 4 h.

Abstract

Objective:To explore the optimal compression time of the puncture point after percutaneous coronary intervention(PCI)through the radial artery pathway.Method:A total of 210 patients who underwent radial artery PCI were selected as the study subjects from January to May 2023 in the Xiamen Cardiovascular Hospital of Xiamen University,according to the envelope method,patients were divided into 4 h group(71 cases),5 h group(70 cases)and 6 h group(69 cases).The three groups were compressed radial artery puncture site for 4,5 and 6 h after the operation.The pain level and incidence of complications in the three groups were compared.Result:There was significant difference in pain score of puncture point among 3 groups(P<0.001);the pain score of the 4 h group was lower than that of the 5 hour group and 6 h group(P<0.001),and the pain score of the 5 h group was lower than that of the 6 h group,the differences were statistically significant(P=0.004).Different compression time of puncture site had no effect on complications such as hemorrhage,hematoma,vesicles,vagus reflex and forearm swelling in three groups,the differences were not statistically significant(P>0.05).Conclusion:The PCI through the radial artery pathway optimal compression time of puncture point is 4 h.

关键词

经皮冠脉介入术/桡动脉穿刺/穿刺点压迫时间/疼痛/并发症/护理

Key words

Percutaneous coronary intervention/Radial artery puncture/Puncture point compression time/Pain/Complication/Nursing

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出版年

2024
中国医学创新
中国保健协会

中国医学创新

影响因子：1.706
ISSN：1674-4985
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