摘要
目的探讨气囊压迫联合多阶梯自动减压法在冠状动脉造影术后老年患者桡动脉止血中的应用效果。方法选取2023年3月—2024年4月在本院行经桡动脉冠状动脉造影术的630例老年患者为研究对象,采用随机数字表法将其分为对照组、观察1组、观察2组,每组210例。对照组术后采用气囊压迫器实施三级阶梯人工压迫止血,观察1组与观察2组术后采用定制压力阶梯式压迫仪对气囊压迫器分别实施三级阶梯、五级阶梯自动压迫止血。比较3组患者术后(CAG后至撤除气囊压迫器)穿刺处出血率、延时取压率、桡动脉狭窄率、桡动脉闭塞率及护理工作时间,并记录术后和术后1 h松压前疼痛评分、心率、血压情况。结果观察2组患者术后穿刺处出血率、延时取压率、桡动脉狭窄率与闭塞率均优于对照组与观察1组,观察1组与观察2组护理工作时间优于对照组,差异有统计学意义(P<0.05)。3组患者术后1 h松压前疼痛评分、心率、收缩压均优于术后,差异有统计学意义(P<0.05);观察2组患者术后1 h松压前疼痛评分、心率、血压均优于对照组与观察1组,差异有统计学意义(P<0.05)。结论应用气囊压迫联合五级阶梯逐步自动减压法压迫止血,可以有效降低桡动脉并发症发生率,缩短护理工作时间,提高患者的舒适度。
Objective To explore the application effect of air bag compression combined with multi-step automatic decompression in radial artery hemostasis after coronary angiography in elderly patients.Methods A total of 630 elderly patients who underwent transradial coronary angiography in our hospital from March 2023 to April 2024 were selected as study subjects and randomly divided into control group,observation group 1,and observation group 2,with 210 patients in each group.The control group received manual compression hemostasis with a three-step air bag compressor after surgery,while the observation group 1 and observation group 2 received automatic compression hemostasis with a customized pressure step compressor for three-step and five-step compression,respectively,on the air bag compressor after surgery.The bleeding rate,delayed pressure release rate,radial artery stenosis rate,radial artery occlusion rate,and nursing work time were compared among the three groups after surgery(after CAG and before removal of the air bag compressor).Pain scores,heart rate,and blood pressure were recorded after surgery and before pressure release at 1 h after surgery.Results The observation group 2 had better results in bleeding rates,delayed pressure release rates,radial artery stenosis rates,and occlusion rates at the puncture site compared with the control group and observation group 1(P<0.05).The nursing work time in the observation group 1 and observation group 2 was shorter than that in the control group(P<0.05).The pain scores,heart rate,and systolic blood pressures before pressure release at 1 h after surgery were better in all three groups compared with those after surgery(P<0.05).The pain scores,heart rates,and blood pressures before pressure release at 1 h after surgery in the observation group 2 were better than those in the control group and observation group 1(P<0.05).Conclusion The application of air bag compression combined with a five-step gradual automatic decompression method for compression hemostasis can effecti
作者
乔积民
周小平
施一航
王志梅
常芸
QIAO Jimin;ZHOU Xiaoping;SHI Yihang;WANG Zhimei;CHANG Yun(Emergency Department,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital,Nanjing,Jiangsu,210006;Cardiology Department,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital,Nanjing,Jiangsu,210006;Nursing Department,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital,Nanjing,Jiangsu,210006)
出处
《实用临床医药杂志》
CAS
2024年第22期105-109,共5页
Journal of Clinical Medicine in Practice
基金
国家自然科学基金青年科学基金资助项目(82200385)
国家实用新型专利(ZL201921841348.8)
南京市卫生科技发展基金项目(YKK23121)
南京市第一医院2022年度“星火培育”计划项目(宁一院科〔2023〕3号)。
关键词
冠状动脉造影
桡动脉
气囊压迫器
老年
阶梯式压迫
压迫止血
coronary angiography
radial artery
air bag compressor
the elderly
step compression
compression hemostasis
