摘要
目的:探讨鼻烟窝远端桡动脉穿刺对冠脉介入治疗(percutaneous coronary intervention,PCI)患者疼痛数字评分(numerical rating scale,NRS)、安全性的影响。方法:选定本院2018年12月-2020年8月收诊的84例冠心病患者,均行PCI手术。采用区组随机法分为试验组(42例,远端桡动脉穿刺)与对照组(42例,常规桡动脉穿刺),比较两组术后包扎时间、NRS评分、手术成功率、穿刺成功率及并发症发生率。结果:试验组的手术成功率(88.10%)、穿刺成功率(88.10%)与对照组(95.24%、95.24%)相比,差异无统计学意义(P>0.05)。试验组的术后包扎时间(4.58±0.46)h,短于对照组的(6.62±0.74)h(P<0.05)。试验组术后NRS评分(3.65±0.53)分、并发症发生率2.38%,低于对照组的(6.17±0.69)分、16.67%(P<0.05)。结论:远端桡动脉穿刺有助于提高PCI手术患者的安全性,缓解其疼痛症状,减少其术后包扎时间及并发症,且其手术、穿刺的成功率亦较高。
Objective:To investigate the effect and safety of radial artery puncture at the distal end of nasal cavity on the numerical rating scale (NRS) and safety of patients undergoing percutaneous coronary intervention (PCI).Method:A total of 84 patients with coronary heart disease were selected in our hospital from December 2018 to August 2020 were selected.All underwent PCI surgery.The randomized block method was divided into the experimental group (42 cases,distal radial artery puncture) and the control group (42 cases,routine radial artery puncture).The postoperative bandaging time,NRS score,surgical success rate,puncture success rate and total complication rate between the two groups were compared.Result:The operation success rate (88.10%) and puncture success rate (88.10%) of the experimental group were compared with those of the control group (95.24% and 95.24%),and there were no significant differences (P>0.05).The postoperative dressing time of the experimental group was (4.58±0.46) h,which was shorter than (6.62±0.74) h of the control group (P<0.05).The NRS score after surgery of the experimental group was (3.65±0.53) points,total complication rate was 2.38%,lower than (6.17±0.69) points,16.67% of the control group (P<0.05).Conclusion:Distal radial artery puncture can improve the safety of PCI patients,relieve the pain,reduce postoperative bandaging time and complications,the success rate of operation and puncture is also high.
作者
林基表
刘国兴
罗瑞英
高小凤
LIN Jibiao;LIU Guoxing;LUO Ruiying;GAO Xiaofeng(Ningde Municipal Hospital of Ningde Normal University,Ningde 352100,China)
出处
《中外医学研究》
2021年第22期120-122,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
冠脉介入治疗
远端桡动脉穿刺
并发症
应用效果
Coronary intervention therapy
Distal radial artery puncture
Complications
Application effect
