摘要
目的:探讨全脑数字减影血管造影(DSA)术后发生穿刺口血肿的相关危险因素。方法:回顾性分析2021年1月—2022年6月于玉林市第二人民医院行DSA的500例患者的临床资料,将术后未发生穿刺口血肿的465例作为对照组,将术后发生穿刺口血肿的35例作为观察组。收集患者基础资料,包括性别、年龄、合并基础性疾病情况等,采取单因素、多因素回归分析DSA术后发生穿刺口血肿的危险因素。结果:单因素分析显示,观察组体重指数(BMI)>28 kg/m^(2)、合并糖尿病、合并动脉粥样硬化患者占比高于对照组,差异有统计学意义(P<0.05)。多因素分析显示,BMI>28 kg/m^(2)、糖尿病、动脉粥样硬化是DSA术后发生穿刺口血肿的独立危险因素(P<0.05)。结论:DSA术后发生穿刺口血肿的相关危险因素包括BMI>28 kg/m^(2)、合并糖尿病、动脉粥样硬化,应开展有效的护理措施,尽可能减少危险因素的影响,降低穿刺口血肿发生率。
Objective:To explore the related risk factors of puncture mouth hematoma after total cerebral digital subtraction angiography(DSA).Method:The clinical data of 500 patients who underwent DSA in Yulin Second People's Hospital from January 2021 to June 2022 were retrospectively analyzed,465 patients who did not develop postoperative puncture mouth hematoma were selected as the control group,and 35 patients who developed postoperative puncture mouth hematoma were selected as the observation group.The basic data of the patient,including gender,age,and underlying diseases were collected,and univariate and multivariate regression analysis was used to analyze the risk factors for the occurrence of puncture mouth hematoma after DSA.Result:Univariate analysis showed that the proportion of patients with body mass index(BMI)>28 kg/m^(2),combined with diabetes and atherosclerosis in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Multivariate analysis showed that BMI>28 kg/m^(2),diabetes and atherosclerosis were independent risk factors for puncture hematoma after DSA(P<0.05).Conclusion:The related risk factors of puncture mouth hematoma after DSA include BMI>28 kg/m^(2),diabetes,and atherosclerosis,effective nursing measures should be taken,so as to reduce the impact of risk factors as far as possible and reduce the incidence of puncture mouth hematoma.
作者
黄炜超
李递通
陈锦俭
冯伟明
邓鹏飞
HUANG Weichao;LI Ditong;CHEN Jinjian;FENG Weiming;DENG Pengfei(Yulin Second People's Hospital,Yulin 537000,China;不详)
出处
《中外医学研究》
2023年第21期116-119,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z20211519)。
关键词
数字减影血管造影
穿刺口血肿
糖尿病
动脉粥样硬化
Digital subtraction angiography
Puncture mouth hematoma
Diabetes
Atherosclerosis
