经桡动脉途径冠状动脉介入诊疗术后术肢局部肿胀影响因素分析

Influencing factors analysis of local swelling of operation limb after transradial approach for percutaneous coronary intervention

目的:探讨引起经桡动脉途径冠状动脉介入诊疗术后的术肢局部肿胀的因素。方法:分析经桡动脉途径冠状动脉介入诊疗术患者85例的腕围、术中肝素用量、桡动脉压迫器压迫时间、压迫器撤除时气囊内残余气体数量、出血情况及术肢手掌肿胀程度。结果:压迫器压迫时间是术肢局部肿胀的独立影响因素,压迫器撤除时气囊内残余气体数量不是独立的影响因素。而术中肝素用量、腕围、压迫器操作者介入工作年限与术肢局部肿胀无关。结论:桡动脉压迫器压迫时间是术后术肢局部肿胀的独立影响因素。术后有效止血后,宜尽早拆除桡动脉压迫器。

Objective:To investigate the influencing factors of local swelling of operation limb after transradial approach for percutaneous coronary intervention.Methods:The wrist circumference,intraoperative heparin dosage,compression time of radial artery compressor,amount of residual gas in balloon,bleeding and palm swelling of operation limb were analyzed in 85 patients undergoing transradial approach for percutaneous coronary intervention.Results:The compression time of radial artery compressor was an independent factor affecting local swelling of the limbs.The amount of residual gas in the balloon was not an independent factor.Intraoperative heparin dosage,wrist circumference and the intervention time of operator were not related to local swelling. Conclusion:The compression time of radial artery compressor was the independent influence factor of local swelling of operation limb.After the effective hemostasis was achieved,it was advisable to remove the radial artery compressor as early as possible.