经桡动脉穿刺行糖尿病足介入治疗的并发症观察及护理

Complications and nursing care in interventional treatment of diabetic foot via radial artery access

目的探讨经桡动脉穿刺行糖尿病足介入治疗的并发症及其护理要点。方法回顾性分析20例经桡动脉穿刺行糖尿病足介入治疗穿刺口并发症及溶栓并发症的观察及护理。结果桡动脉穿刺口血肿1例,渗血3例,牙龈出血1例,疼痛3例,穿刺术后未出现尿潴留、感染,渗血、血肿、疼痛等并发症少。结论加强桡动脉穿刺口及保留鞘管的护理和及时病情观察可减少患者穿刺并发症,丰富的临床知识、细致的病情观察能预防及减少溶栓并发症,短期内可提高患者的舒适度和生活质量。

Objective To evaluate the therapeutic effect of interventional treatment via radial artery access for diabetic foot and to summarize its complications and nursing care. Methods The interventional treatment via radial artery access was performed in twenty patients with diabetic foot. The preoperative psychological nursing care, the nursing of the punctured site of radial artery and the indwelling catheter, the complications of the puncture site and thrombolytic therapy were reviewed and retrospectively analyzed. Results Some complications occurred in eight cases, including hematoma at puncture site （n = 1 ）, oozing of blood （n = 3）, gingival bleeding （n = 1 ） and pain （n = 3）. No retention of urine or infection occurred. Conclusion It is very important to pay enough attention to the nursing care of puncture site and indwelling catheter sheath and to make a close observation of patient＇s condition in order to reduce the occurrence of complications. Rich clinical experience and careful observation after the operation can definitely reduce the occurrence of thrombolytic complications and improve the patient＇s living quality. （J Intervent Radiol, 2009, 18：779-781 ）