经桡动脉冠状动脉介入术术后不同减压时间的效果观察

周彤; 王冬梅; 黄娟; 盛娟; 王伟

doi:10.13898/j.cnki.issn.1000-2200.2016.11.035

经桡动脉冠状动脉介入术术后不同减压时间的效果观察

1. 蚌埠医学院第一附属医院心血管内科, 安徽蚌埠 233004;
2. 蚌埠医学院第一附属医院耳鼻咽喉头颈外科, 安徽蚌埠 233004

作者简介: 周彤(1980-),女,主管护师.

基金项目:
蚌埠医学院科学研究项目（BYKY1463，BYKY14123sk）
中图分类号: R543

Effect of different decompression time on the postoperative patients treated with transradial coronary intervention

1. Department of Cardiovascular Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China;
2. Department of Otolaryngology and Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China
CLC number: R543

摘要: 目的：探讨经桡动脉冠状动脉介入术（Trans radial coronary intervention，TRI）术后使用桡动脉加压气囊（TR Band）第一次减压时间的安全性及对患者舒适程度的影响。方法：选取TRI术后100例使用TR Band压迫止血的患者，按照随机数字表法将患者分为观察组和对照组，各50例。观察组术后2 h开始减压，每隔1 h减压1次，每次放气2 mL，连续3次，余量气体在术后10 h内放完；对照组术后4 h开始减压，每隔2 h减压1次，每次放气2 mL，连续3次，余量气体在术后12 h内放完。比较观察2种减压方法的止血效果、患者舒适度、压迫侧食指经皮血氧饱和度（SpO₂）、压迫处局部并发症的情况。结果：2种减压方法均能有效止血，差异无统计学意义（P>0.05），术后2 h的SpO₂监测均在正常范围内（P>0.05），术后2 h舒适度差异无统计学意义（P>0.05）；但2组患者术后4 h的SpO₂监测和患者舒适度差异均有统计学意义（P<0.01），2组患者术后不同减压时间皮下瘀斑、局部水泡、发绀和麻木发生率差异均有统计学意义（P<0.05~P<0.01）。结论：TR Band第一次减压时间提前至术后2 h，解除压力阀的时间为术后10 h，可以减少术后并发症，增加患者的舒适度。
- 经桡动脉冠状动脉介入术 /
- 减压时间 /
- 舒适度
Abstract: Objective: To investigate the safety and effects on the comfort level of patients of the first compression time of TR Band after Transradial coronary intervention(TRI).Methods: One hundred patients treated with TR band hemostasis after TRI were divided into the observation group and control group according to the random number table(50 cases each group).The observation group were decompressed after postoperative 2 h,1 time each 2 h,discharge 2 mL each time for 3 times,and were completely discharged within 10 h.The control group were decompressed after postoperative 4 h,1 time each 2 h,discharge 2ml each time for 3 times,and were completely discharged within 12 h.The hemostasis effects,comfort level of patients,oxygen saturation(SpO₂) of transcutaneous oppression side of forefinger and complications of oppression location between two groups were observation and compared.Results: Two decompression methods can effectively stop bleeding,the difference between the two groups was not statistically significant(P>0.05),the SpO₂ level was within the normal range after 2 h of operation(P>0.05).The difference of the comfort level after 2 h of operation between two groups was not statistically significant(P>0.05);but the differences of the levels comfort and SpO₂ after 4 h of operation between two groups were statistically significant(P<0.01).The differences of the incidences of ecchymosis,local blisters,cyanosis and numbness at different postoperative time between two groups were statistically significant(P<0.05 to P<0.01).Conclusions: The first decompression time of TR Band should be advanced to the postoperative 2 h,and the decompression time should be within the postoperative 10 h,which can reduce postoperative complications,and increase the comfort of patien.
- transradial coronary intervention /
- decompression time /
- comfort

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经桡动脉冠状动脉介入术术后不同减压时间的效果观察

作者简介: 周彤(1980-),女,主管护师.

Effect of different decompression time on the postoperative patients treated with transradial coronary intervention

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经桡动脉冠状动脉介入术术后不同减压时间的效果观察

作者简介: 周彤(1980-),女,主管护师.

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Effect of different decompression time on the postoperative patients treated with transradial coronary intervention

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经桡动脉冠状动脉介入术术后不同减压时间的效果观察

作者简介: 周彤(1980-),女,主管护师.

Effect of different decompression time on the postoperative patients treated with transradial coronary intervention

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经桡动脉冠状动脉介入术术后不同减压时间的效果观察

作者简介: 周彤(1980-),女,主管护师.

English Abstract

Effect of different decompression time on the postoperative patients treated with transradial coronary intervention

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目录