CAJ | 학술논문

目的：探讨经桡动脉与股动脉2种途径行冠状动脉介入术诊治冠心病的利弊，以及针对不同的途径采取相应的护理措施。方法将645例冠心病患者按介入途径不同分为桡动脉组510例和股动脉组135例，比较2组患者手术并发症和主观不适等发生率。结果桡动脉组患者术后卧床时间、住院时间短于股动脉组，迷走神经反射、患者主观不适、皮下血肿、假性动脉瘤、排便困难、术后低血压的发生率均低于股动脉组。结论2种穿刺途径行冠状动脉介入诊疗均安全、可行。经桡动脉穿刺不良反应发生率低，术后护理相对简单，可提高护理人员工作效率，患者更易接受。
목적：탐토경뇨동맥여고동맥2충도경행관상동맥개입술진치관심병적리폐，이급침대불동적도경채취상응적호리조시。방법장645례관심병환자안개입도경불동분위뇨동맥조510례화고동맥조135례，비교2조환자수술병발증화주관불괄등발생솔。결과뇨동맥조환자술후와상시간、주원시간단우고동맥조，미주신경반사、환자주관불괄、피하혈종、가성동맥류、배편곤난、술후저혈압적발생솔균저우고동맥조。결론2충천자도경행관상동맥개입진료균안전、가행。경뇨동맥천자불량반응발생솔저，술후호리상대간단，가제고호리인원공작효솔，환자경역접수。
Objective To study the plusses and minuses of coronary artery intervention through radial artery and femoral artery in the treatment of coronary heart disease and the nursing . Methods Totally 645 patients with coronary heart disease were divided into radial artery group (n=510) and femoral artery group (n=135) .The incidence of operation complications and subjective discomfort in 2 groups were compared . Results The time of patients on bed in hospital after operation of the radial artery group were shorter than that of the femoral artery group .The incidence of vagus reflex ,subjective discomfort ,subcutaneous hematoma ,pseudoaneurysm ,difficult defecation in the radial artery group were lower than that in the femoral artery group .Conclusion Two kinds of puncture ways for coronary intervention are safe ,feasible .The adverse reactions of puncture through radial artery are lower .Postoperative care of coronary artery intervention through radial artery is relatively simple ,and it can improve the efficiency of nursing staff . Patients are more likely to accept .