经桡动脉与股动脉途径行急诊PCI护理的比较分析

目的对比急性心肌梗塞(Acute myocardial infarction,AMI)患者经桡动脉与股动脉穿刺行急诊冠状动脉介入(Emergency percutaneous coronary intervention,PCI)治疗护理的优缺点。方法 2011年1月至2011年12月我院行急诊PCI治疗102例AMT,其中经桡动脉冠状动脉(Transradial coronary intervention,TRT)介入组53例,经股动脉介入(Percutaneous coronary intervention,TFT)49例。对比其术后并发症的发生率、住院天数、护理量、术后患者心理躯体舒适度等进行统计学数据与分析。结果两组病例基本特征比较差异无统计学意义,而并发症则经桡动脉组低于股动脉组(3.8%VS8.2%P<0.05),患者住院时间明显短于股动脉组(P<0.05),护理人员工作量也明显少于股动脉组(P<0.05),术后患者的心理躯体舒适度评估明显高于股动脉组。结论经桡动脉途径行急诊PCI治疗是安全、有效的方法。与股动脉途径比较,经桡动脉途径可减少并发症的发生,缩短住院天数,患者恢复快,减轻护理工作量,节约护理资源,不但有益于患者,亦有益于护理人员。

Through Radial Artery and Femoral Artery PCI Comparative Analysis of Emergency Nursing

Objective In contrast to acute myocardial infarction(Acute myocardial infarction,AMI) patients through radial artery and femoral artery puncture in emergency percutaneous coronary intervention(Emergency percutaneous coronary intervention,PCI) treatment nursing advantages and disadvantages.Methods 2011 January to 2011 December in our hospital on emergency treatment of 102 cases of AMT PCI,one via the radial artery coronary artery(Transradial coronary intervention,TRT) intervention group 53 cases,femoral artery intervention(Percutaneous coronary intervention,TFT) in 49 cases.Comparison of the incidence of postoperative complications,length of hospital stay,postoperative patients psychological nursing,physical comfort for statistical data and analysis.Results The basic characteristics of two groups compare difference not to have statistical significance,but complications are via the radial artery group was lower than that of the femoral artery group(3.8%VS8.2%,P<0.05),the hospitalization time was shorter in the femoral artery group(P<0.05),the workload of the nursing personnel is lower than that of the femoral artery group(P<0.05),patients with postoperative mental body comfort evaluation of femoral artery group was significantly higher than that of.Conclusion The transradial approach for primary PCI therapy is a safe,effective method.Comparison with femoral artery pathway,transradial approach can reduce the incidence of complications,shorter hospital stay,patients recover quickly,reduce the nursing workload,save the nursing resources,not only beneficial to the patients,but also beneficial to nursing staff.