经桡动脉介入术后压迫器减压时间的护理观察
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摘要
目的探讨经桡动脉行冠脉介入(PCI)术后的患者,应用低分子肝素、调整压迫器减压时间,减少桡动脉穿刺处并发症的效果。方法选择2015年9月-2016年9月在徐州市中医院CCU科室经桡动脉行PCI治疗的150例患者,按患者低分子肝素使用状况、压迫器减压时间分为对照组、低分子肝素A组、低分子肝素B组各50例,对比三组患者术后止血效果及压迫止血的并发症。结果对照组、低分子肝素A组、低分子肝素B组患者桡动脉闭塞发生率差异有统计学意义(P<0.05)。对照组、低分子肝素A组、低分子肝素B组患者局部血肿、手部肿胀、穿刺点渗血、去除压迫器后再出血发生率差异无统计学意义(P>0.05)。结论 PCI术后应用低分子肝素有增加桡动脉穿刺点渗血的风险,但通过针对性的护理干预,观察并调整减压时间能明显降低此类并发症。
Objective To explore the effect of low molecular weight heparin, adjusting decompression time of compressor to reduce complications after transradial coronary intervention(PCI). Methods 150 patients underwent PCI in the CCU department of Xuzhou Hospital of Traditional Chinese Medicine from September2015 to September 2016 were selected. According to the usage of low molecular weight heparin and decompression time of compressor, the patients were divided into the control group, low molecular weight heparin A group, low molecular weight heparin B group, 50 cases in each group. The postoperative hemostasis effect and compression complications of the three groups were compared. Results The incidence of brachial artery occlusion in the control group, low molecular weight heparin A group and low molecular weight heparin B group was significantly different(P<0.05). There was no significant difference in the incidence of hemorrhage, bleeding in the hand, oozing at the puncture site, and re-bleeding after removal of the oppressor in the control group, the low molecular weight heparin A group, and the low molecular weight heparin B group(P>0.05). Conclusion After PCI, low molecular liver was used to increase the risk of blood seepage of the radial artery. However, through targeted nursing intervention, observation and adjustment of decompression time could significantly reduce such complications.
Objective To explore the effect of low molecular weight heparin, adjusting decompression time of compressor to reduce complications after transradial coronary intervention(PCI). Methods 150 patients underwent PCI in the CCU department of Xuzhou Hospital of Traditional Chinese Medicine from September2015 to September 2016 were selected. According to the usage of low molecular weight heparin and decompression time of compressor, the patients were divided into the control group, low molecular weight heparin A group, low molecular weight heparin B group, 50 cases in each group. The postoperative hemostasis effect and compression complications of the three groups were compared. Results The incidence of brachial artery occlusion in the control group, low molecular weight heparin A group and low molecular weight heparin B group was significantly different(P<0.05). There was no significant difference in the incidence of hemorrhage, bleeding in the hand, oozing at the puncture site, and re-bleeding after removal of the oppressor in the control group, the low molecular weight heparin A group, and the low molecular weight heparin B group(P>0.05). Conclusion After PCI, low molecular liver was used to increase the risk of blood seepage of the radial artery. However, through targeted nursing intervention, observation and adjustment of decompression time could significantly reduce such complications.
引文
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[4]周彤,王冬梅,黄娟,等.经桡动脉冠状动脉介入术术后不同减压时间的效果观察[J].蚌埠医学院学报,2016,41(11):1509-1511.
[5]刘淑意.桡动脉止血器在经桡动脉行冠状动脉介入治疗术后应用[J].护理实践与研究,2016,13(20):38-39.
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