冠状动脉造影及介入性治疗术前不同备皮方法的效果

Effects of different preserved skin shaving methods for patients with coronary angiography and cardiac interventional therapy

目的探讨冠状动脉(冠脉)造影及介入性治疗术前2种备皮方法的优缺点。方法选取入住心内科并行冠脉造影及介入性治疗的冠状动脉粥样硬化性心脏病患者220例,随机分为对照组和观察组,各110例。对照组常规术前准备和备皮剃毛,观察组术前准备中不作剃毛处理,对于毛发太长影响手术视野者则采用剪刀剪短。观察护士备皮时间、患者接受度及术后切口感染率。结果观察组备皮时间少于对照组,差异有统计学意义(P<0.01);2组术后切口感染率差异无统计学意义(P>0.05)。观察组对备皮方案接受度为75.45%(83/110),高于对照组的37.27%(41/110),差异有统计学意义(P<0.01)。结论改良备皮方法在冠脉造影及介入性治疗手术中对术后皮肤感染情况无影响,并可降低时间成本,减少患者心理不适感。

Objective To investigate the effect of different preserved skin shaving methods for patients with coronary angiography and cardiac interventional therapy. Methods A total of220 patients with coronary heart disease undergoing coronary angiography and interventional therapy were selected and divided into control group and observation group,with 110 cases in each group respectively. Patients in the control group adopted routine preserved skin shaving before the operation,while patients in the observation group received non-hair-shaving skin preparation. The duration of preserved skin,wound infection rate and patients＇ acceptance degree were compared between twogroups. Results The duration of preserved skin was shorter in the observation group than that of controls,with a significant difference（ P〈0. 01）. There was no significant difference in wound infection rate between twogroups after operation（ P〉0. 05）. Patients in the observation group had higher acceptance degree to preserved skin shaving method compared with those in the control group（ 75. 45% vs. 37. 27%,P〈0. 01）. Conclusion The modified preserved skin shaving method can reduce the time cost and uncomfortable psychological feelings of patients,but without increasing the risk of wound infection in patients after coronary angiography and cardiac interventional therapy.