经桡动脉途径行冠脉介入治疗后桡动脉闭塞的观察及护理研究

Prevalence of radial artery occlusion after percutaneous coronary intervention by radial artery： observation of 1 086 cases and relevant nursing care

目的观察经桡动脉进行冠状动脉介入诊疗中桡动脉闭塞的发生情况，探讨经桡动脉冠状动脉介入诊疗中的护理。方法经桡动脉冠状动脉介入手术1682例，分为冠状动脉造影组（CAGn=1026例）和冠状动脉介入治疗组（PCIn=656例），以及初次手术组（1236例）和多次手术组（446例），比较各组中桡动脉的闭塞发生率。结果1682例患者中，50例出现桡动脉闭塞，占3．0％，其中CAG4．1％，PCI1．8％，初次手术2．6％，多次手术3．9％（均P〈0．05）。进行合适的术后压迫，给予手腕部活动指导以及术后观察指肢血流均有助于预防桡动脉闭塞。结论合适的术后护理有助于预防治；嘲闹塞。

Objective To investigate the prevalence of radial artery occlusion after percutaneous coronary intervention （PCI） by radial artery and discuss the relevant nursing care. Methods 1 682 patients underwent PCI by radial artery： 1 026 for coronary artery angiography and 656 for therapeutic PCI, and 1 236 undergoing PCI for the first time and 446 for 2 or more times. The prevalence of radial artery occlusion was observed, and effective nursing care measures were summed up. Results Radial artery occlusion was found in 50 of the 1 682 patients （3.0%）. The prevalence rate of radial artery occlusion was 4.1% in the CAG group, significantly higher than that in the therapeutic PIC group （1.8%, P〈 0.05）, and was 3.9% in the multiple operation group, significantly higher than that in the primary operation group （2.6%, P 〈0.05）. Appropriate post-operational compression, guidance for wrist activity, and careful observation of the blood flow of the fingers and upper extremities all help prevent radial artery occlusion. Conclusion Appropriate post-operational nursing care helps prevent this post-operational complication.