摘要
目的 对比经鼻烟壶区桡动脉穿刺、传统桡动脉穿刺在经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)中的应用差异。方法 选择2021年1—12月江阴市中医院心内科收治的行PCI治疗的76例患者为研究对象,根据穿刺途径不同分为两组,每组38例。其中,对照组行常规桡动脉穿刺,观察组行鼻烟壶区桡动脉穿刺,比较两组穿刺次数、穿刺时间、手术成功率、术后压迫时间、术后3 hNRS疼痛评分、住院时间、术后并发症、手术操作耗时、X线曝光时段、造影剂所需量。结果 两组患者的手术成功率、操作耗时、造影剂所需量比较,差异无统计学意义(P>0.05)。观察组穿刺次数(1.68±0.53)次、穿刺时间(4.13±0.78)min均多于对照组的(1.37±0.49)次、(2.87±0.78)min,差异有统计学意义(t=2.713、7.086,P<0.001)。观察组术后压迫时间、住院天数、X线曝光时段较对照组要短,差异有统计学意义(P<0.05)。观察组术后3 h的穿刺点疼痛分级较对照组轻,差异有统计学意义(Z=2.548,P=0.011)。观察组张力性水疱发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 与传统穿刺路径对比,经鼻烟壶区桡动脉穿刺能够显著缩短术后压迫止血时间,减少术后疼痛和并发症发生率,有利于减轻患者的痛苦,可为经皮冠状动脉介入治疗提供新的穿刺入径,值得进一步研究。
Objective To compare the application difference of radial artery puncture through snuff bottle area and traditional radial artery puncture in percutaneous coronary intervention(PCI). Methods From January to December 2021, 76 patients who were treated by PCI in the Department of Cardiology of Jiangyin Hospital of Traditional Chinese Medicine were selected as the research objects. They were divided into two groups according to different puncture routes, with 38 patients in each group. The control group received routine radial artery puncture, and the observation group received radial artery puncture in the snuff bottle area. The puncture times, puncture time, surgical success rate, post-operative compression time, postoperative 3 h NRS pain score, hospital stay, postoperative complications,surgical operation time, X-ray exposure time, and the amount of contrast agent required were compared between the two groups. Results There was no statistically significant difference between the two groups in terms of the chance of successful surgery, operation time consumed, and amount of contrast agent required(P>0.05). The number of punctures(1.68±0.53) times and puncture time(4.13±0.78) min in the observation group were more than those in the control group(1.37±0.49) times and(2.87±0.78) min, and the difference was statistically significant(t=2.713, 7.086, P<0.001). The postoperative compression time, hospital days, and X-ray exposure periods in the observation group were shorter than those in the control group, and the difference was statistically significant(P<0.05). The pain grading at the puncture site in the observation group was less than that in the control group at 3 h postoperatively, and the difference was statistically significant(Z=2.548, P=0.011). The incidence of tensor blistering in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Compared with the traditional puncture path, the radial artery puncture through
作者
邱炜炜
QIU Weiwei(Department of Cardiovascular Medicine,Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin,Jiangsu Province,214400 China)
出处
《系统医学》
2022年第21期18-22,共5页
Systems Medicine
基金
江阴市卫生健康委员会科研项目合同书(S202007)。
关键词
冠脉介入
传统桡动脉穿刺
经鼻烟壶区穿刺
Coronary intervention
Traditional radial artery puncture
Puncture through the snuff bottle area
