CAJ | 학술논문

目的：探讨介入上肢垫在经桡动脉介入治疗（TRI）术后护理中应用价值。方法：回顾性分析2011年6月-2013年5月本院心内科三病区收治的628例冠心病患者经桡动脉行冠状动脉介入治疗的临床资料。在常规护理基础上，根据有无采用介入上肢垫进行术后穿刺部位护理，将患者分为试验组298例（介入上肢垫护理）和对照组330例（非介入上肢垫护理）。通过护理记录对两组术后6 h穿刺部位疼痛、肿胀、出血、指端紫绀等局部症状进行比较和评价。结果：试验组患者的局部疼痛、肿胀、出血等症状发生率均明显低于对照组，差异均有统计学意义（P<0.0001）。结论：介入上肢垫能有效减少TRI术后患者肢体的局部相关并发症，值得在临床推广。
목적：탐토개입상지점재경뇨동맥개입치료（TRI）술후호리중응용개치。방법：회고성분석2011년6월-2013년5월본원심내과삼병구수치적628례관심병환자경뇨동맥행관상동맥개입치료적림상자료。재상규호리기출상，근거유무채용개입상지점진행술후천자부위호리，장환자분위시험조298례（개입상지점호리）화대조조330례（비개입상지점호리）。통과호리기록대량조술후6 h천자부위동통、종창、출혈、지단자감등국부증상진행비교화평개。결과：시험조환자적국부동통、종창、출혈등증상발생솔균명현저우대조조，차이균유통계학의의（P<0.0001）。결론：개입상지점능유효감소TRI술후환자지체적국부상관병발증，치득재림상추엄。
To investigate the application values of intervention arm pad in the Trans-radial coronary intervention(TRI)postoperative nursing.Method:Retrospective analysis of clinical data was performed in 628 patients with coronary heart disease in our hospioal,who underwent coronary artery intervention by the radial artery during from June 2011 to May 2013.All patients were given conventional cares,who were divided into the experimental group(n=298) with arm pad nursing and the control group(n=330)without arm pad nursing.The puncture pain,swelling,bleeding and cyanosis in fingers were analyzed by the nursing records between two groups.Those local symptoms were conducted 6 hours after operation were compared and evaluated.Result:The incidence of local pain,swelling,bleeding and other symptoms in the experimental group were significantly lower than those in the control group,the differences were statistically significant(P<0.0001).Conclusion:Arm pad can effectively reduce local complications in patients with interventional therapy by TRI,it is worth in clinical promotion.