2种穿刺途径行冠状动脉介入治疗术后24h护理观察

Nursing observation of patients received percutaneous coronary intervention by two approaches of puncture 24 hours before

目的：观察经桡动脉和股动脉途径行经皮冠状动脉介入（PCI）治疗术后24 h患者并发症及不良反应的发生情况。方法：将100例行PCI的冠心病患者分为经桡动脉途径PCI治疗组（A组,43例）和经股动脉途径PCI治疗组（B组,57例）,比较2组患者PCI术后24 h的并发症、不良反应的情况。结果：A组患者局部血肿、切口出血、尿潴留、失眠、肢体及腰背疼痛的发生率明显低于B组,而动脉痉挛或闭塞的发生率高于B组（P〈0.05-P〈0.01）。结论：经桡动脉途径行PCI治疗较股动脉途径的术后并发症减少,患者的舒适度高。

Objective：To observe the complications incidence in patients received percutaneous coronary intervention（PCI） through radial artery and femoral artery puncture 24 hours after the operation.Methods：One hundred patients with coronary artery disease were divided into radial puncture group（group A,43 cases） and femoral artery puncture group（group B,57 cases）.The complication incidence and side reaction 24 hours after PCI were compared between the two groups.Results：The incidence of local hematoma,wound bleeding,false aneurysm,vagal reflex and insomnia,limb and back pain in group A was significantly lower than that in group B;while the incidence of arterial spasm or occlusion in group A was higher than that in group B（P〈0.05-P〈0.01）.Conclusions：Patients receiving PCI through the radial artery are less prone to complications and present a higher degree of comfort than those through the femoral artery puncture.