术肢操预防TRI后并发症的效果

Effect of Surgical Limbs to Prevent Complications After TRI

目的探讨术肢操预防经桡动脉冠脉介入术(TRI)后并发症的效果,为降低TRI术后并发症提供参考。方法选取2017年6月~11月在我院行经桡动脉行冠脉介入术(TRI)的100例患者作为研究对象,随机分为对照组和试验组,各50例。对照组给予常规术后护理,试验组在基础上由护士指导行术肢操锻炼。比较两组术后8 h术肢远端肢体肿胀、疼痛、术肢食指指端血氧饱和度(SpO2)异常及穿刺处出血情况。结果试验组组术肢远端肢体肿胀、疼痛患者少于对照组,差异有统计学意义(P<0.05);两组术后8 h术肢食指指端SpO2异常及穿刺处出血情况比较,差异无统计学意义(P<0.05)。结论术肢操能减轻TRI后患者的术侧肢体肿胀程度和疼痛程度。

Objective To explore the effect of limb surgery on preventing complications after TRI, and to provide a reference for reducing complications after TRI. Methods A total of 100 patients who underwent coronary artery intervention(TRI) through the radial artery in our hospital from June to November 2017 were selected as the research subjects and randomly divided into a control group and a test group, with 50 cases in each group. The control group was given routine post-operative care, and the experimental group was guided by nurses to perform limb exercise on the basis, the two groups were compared with swelling, pain, abnormal oxygen saturation(SpO2) at the distal end of the index finger and bleeding at the puncture site at 8 h after operation.Results There were fewer patients with swelling and pain in the distal limbs of the experimental group than the control group, the difference was statistically significant(P<0.05);Comparison of abnormal SpO2 and bleeding at the puncture site of the index finger of the two groups at 8 h after operation, the difference was not statistically significant(P <0.05).Conclusion Limb surgery can reduce the degree of swelling and pain of the limbs in patients after TRI.