CAJ | 학술논문

目的：分析冠脉介入术（PCI）后股动脉拔鞘管致血管迷走神经反射的相关因素，并提出相对应的干预对策。方法选取343例冠脉介入术后由股动脉拔鞘管所致血管迷走神经反射的37例患者发病情况和相关处理，分析术后股动脉拔鞘管发生血管迷走神经反射的原因及相关干预对策。结果经及时抢救及护理，37例均痊愈。冠脉介入术后股动脉抜鞘管引发血管迷走神经反射的主要危险因素有介入方式、年龄、性别、过度压迫止血、精神紧张、血容量不足、疼痛等。结论通过对37例冠脉介入术后股动脉拔鞘管致血管迷走神经反射的相关因素分析，总结出相应的干预对策，针对病因采取积极有效的护理措施，加强在术前、术中及术后的护理，以预防和减少严重并发症的发生率。
목적：분석관맥개입술（PCI）후고동맥발초관치혈관미주신경반사적상관인소，병제출상대응적간예대책。방법선취343례관맥개입술후유고동맥발초관소치혈관미주신경반사적37례환자발병정황화상관처리，분석술후고동맥발초관발생혈관미주신경반사적원인급상관간예대책。결과경급시창구급호리，37례균전유。관맥개입술후고동맥발초관인발혈관미주신경반사적주요위험인소유개입방식、년령、성별、과도압박지혈、정신긴장、혈용량불족、동통등。결론통과대37례관맥개입술후고동맥발초관치혈관미주신경반사적상관인소분석，총결출상응적간예대책，침대병인채취적겁유효적호리조시，가강재술전、술중급술후적호리，이예방화감소엄중병발증적발생솔。
Objective To observe and analyze the relevant factors of femoral artery sheath made vasovagal reaction after PCI ,and propose the intervention measures .Methods The incidence and interventive measures of 37 cases with vasovagal re-action caused by femoral artery sheath after PCI was collected ,and the reasons after operation were analyzed ,and the inter-ventive measures were summarized .Results After timely nursing and salvage ,the symptoms of 37 patients relieved ,and the patients were cured .Through analysis ,the risk factors of vasovagal reaction caused by femoral artery sheath after PCI included intervention ways ,age ,sex ,excessive compressing hemostasis ,mental stress ,hypovolemia and pain .Conclusion After analy-zing the factors related to vasovagal reaction caused by femoral artery sheath after PCI ,the interventive measures are summa-rized .We not only need to take effective and active nursing measures for causes of disease ,but also need to enhance nursing be-fore operation ,in operation and after operation in order to prevent and reduce the incidence of severe complications .