有效减少老年PCI术后穿刺部位出血量的护理

Nursing of old patients can effectively decrease bleeding at the site of puncture after percu-taneous coronary intervention

目的探讨老年PCI术后并发穿刺部位出血的观察要点及护理措施。方法将122例行PCI术的患者按手术的先后顺序随机分为实验组及对照组,实验组患者术后根据详细护理路径及决策系统进行护理,对照组按PCI术后护理常规进行护理,比较两组患者术后穿刺部位出血量的多少及预后。结果实验组患者穿刺部位出血量少于对照组(P<0.05)。结论按照预先设计的"老年PCI术后穿刺部位出血量观察表"进行病情观察,并采取相应护理措施,可有效防止穿刺部位过多出血及意外的发生。

Objective To study how to observe the bleeding at puncture site and its nursing measures in old patients after percutaneous coronary intervention（PCI）.Methods One hundred and twenty-two patients after PCI were randomly divided into experimental group and control group in their operation order.Patients in experimental group were nursed according to the nursing measures and decision system while those in control group were routinely nursed.The volume of bleeding at the site of puncture and the prognosis between the two groups were compared.Results The volume of bleeding at the site of puncture was less in experimental group than in control group（P0.05）.Conclusion Observation of bleeding according to the pre-designed＂table of bleeding at the site of puncture in old patient after PCI＂and established nursing measures can effectively prevent excess hemorrhage and accidents.