股动脉假性动脉瘤超声引导下凝血酶注射与压迫法的护理比较

Nursing care effect of pseudoaneurysm of femoral artery after percutaneous coronary interventional procedures by thrombin injection and compression repair

目的:比较经股动脉行冠状动脉介入诊疗操作后假性动脉瘤(PSA)超声引导下凝血酶注射(UGTI)与超声引导下压迫(UGCR)治疗的护理效果。方法:选取我院2000年6月～2006年6月经股动脉行冠状动脉介入诊疗操作后出现假性动脉瘤患者共37例。其中,UGTI组:有接受UGTI治疗患者21例,UGCR组:有采用UGCR治疗的患者16例。比较两组的治疗成功率、平均治疗时间、术后卧床时间等护理指标。结果:UGTI组的各种护理指标均优于UGCR组(P<0.05～<0.01);但PSA直径<4cm的假性动脉瘤,UGTI组与UGCR组成功率无显著差异(P>0.05)。结论:若动脉瘤直径≥4cm,UGTI的疗效明显优于UGCR。

Objective： To compare the nursing care effect of pseudoaneurysm of femoral artery after percutaneous coronary interventional procedures （PCI） by thrombin injection and compression repair. Methods： A total of 37 patients with pseudoaneurysm after PCI were selected. The patients treated with ultrasound guided thrombin injection were included in UGTI group （21 cases）. The UGCR group includes patients treated with ultrasound guided compression repair （16 cases）. Some nursing care indexes were compared, which included morbidity, efficiency, mean time of the out-of-bed activity, and so on. Results： There were significant differences in the nursing care index between the two groups （P〈0. 05-0.01）. Conclusion： The method of UGTI can significantly reduce the suffering of patients with pseudoaneurysm compared with UGCR.