超声引导下远端桡动脉穿刺在冠心病经皮冠状动脉介入患者中的应用效果

Application effect of ultrasound-guided distal radial artery puncture in patients with coronary heart disease undergoing percutaneous coronary intervention

目的分析超声引导下远端桡动脉穿刺在冠心病经皮冠状动脉介入患者中的应用效果。方法收集本院2022年6月至8月530例行经皮冠状动脉介入的冠心病患者病例资料,将300例超声引导下远端桡动脉穿刺患者作为观察组,230例超声引导下近端桡动脉穿刺患者作为对照组。比较两组的临床效果。结果观察组的疼痛情况优于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率为15.67%,低于对照组的33.48%,差异具有统计学意义(P<0.05)。观察组的满意度优于对照组,差异具有统计学意义(P<0.05)。结论超声引导下远端桡动脉穿刺可明显提高冠心病经皮冠状动脉介入患者的穿刺成功率,降低术后护理难度,减轻患者疼痛,提高就医体验,降低并发症发生率,减少耗材的使用,提高患者满意度。

Objective To analyze the application effect of ultrasound-guided distal radial artery puncture in patients with coronary heart disease undergoing percutaneous coronary intervention.Methods The data of 530 patients with coronary heart disease who underwent percutaneous coronary intervention in our hospital from June to August 2022 were collected,300 patients with distal radial artery puncture under ultrasound guidance were taken as observation group,and 230 patients with proximal radial artery puncture under ultrasound guidance were taken as control group.The clinical effects of the two groups were compared.Results The pain of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 15.67%,which was lower than 33.48%in the control group,and the difference was statistically significant(P<0.05).The satisfaction of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Ultrasound-guided distal radial artery puncture can significantly improve the success rate of puncture in patients with coronary heart disease undergoing percutaneous coronary intervention,reduce the difficulty of postoperative care,decrease patient pain,improve medical experience,degrade the incidence of complications,lessen the use of consumables,and increase patients'satisfaction.