CAJ | 학술논문

目的通过观察经桡动脉行冠状动脉介入诊治术后患者局部主要并发症(出血、肿胀)发生率,分析术后局部主要并发症的可能影响因素,寻找主要影响因素,为制订术后预防局部并发症的方案提供依据.方法选择201 1年8～12月在中山大学附属第一医院心介入内科经桡动脉行冠状动脉介入诊治术后患者198例,通过询问、现场测量与观察、实验室检查相结合的方法,收集入选病例围手术期用于判断局部主要并发症的各项指标.用SPSS18.0统计软件进行数据分析,比较局部主要并发症发生组与未发生组的桡动脉止血器压迫位置、松解方案等情况,将单因素分析的因素纳入Cox回归分析.结果止血器压板中点居于前臂桡与尺侧中轴线上和止血器压板中点与腕第二横纹距离的RR值分别为2.602和1.403.结论止血器压板中点居于前臂桡与尺侧中轴线上和止血器压板中点与腕第二横纹距离为经桡动脉行冠状动脉介入诊治术后局部主要并发症的危险因素.
목적 통과관찰경뇨동맥행관상동맥개입진치술후환자국부주요병발증(출혈、종창)발생솔,분석술후국부주요병발증적가능영향인소,심조주요영향인소,위제정술후예방국부병발증적방안제공의거.방법 선택201 1년8～12월재중산대학부속제일의원심개입내과경뇨동맥행관상동맥개입진치술후환자198례,통과순문、현장측량여관찰、실험실검사상결합적방법,수집입선병례위수술기용우판단국부주요병발증적각항지표.용SPSS18.0통계연건진행수거분석,비교국부주요병발증발생조여미발생조적뇨동맥지혈기압박위치、송해방안등정황,장단인소분석적인소납입Cox회귀분석.결과 지혈기압판중점거우전비뇨여척측중축선상화지혈기압판중점여완제이횡문거리적RR치분별위2.602화1.403.결론 지혈기압판중점거우전비뇨여척측중축선상화지혈기압판중점여완제이횡문거리위경뇨동맥행관상동맥개입진치술후국부주요병발증적위험인소.
Objective To observe the rates of local complications (bleeding/swelling) after trans-radial coronary intervention (TRI),to investigate possible impact factors,in order to provide guidance for the prevention of these adverse events.Methods A total of 198 cases who performed TRI at the department of interventional cardiology of the First Affiliated Hospital of Sun Yat-sen University from August to December,2011 were included in the present study.Data with regards to local complications were collected peri-operatively,by means of direct inquiry,point-of-care observation and measurements,and laboratory testing.Patients who developed complications and patients who did not were compared in terms of compressor position,loosening protocol and so on.Variables with statistical significance in univariate analysis were further included in Cox regression.SPSS 18.0 software was applied for all statistical analysis.Results The relative risks (RR) of the following two variables,namely whether or not the midpoint of compressor was on the midline of forearm,and the vertical distance from the horizontal plate of the compressor to the puncture site,were 2.602 and 1.403,respectively.Conclusions The midpoint of compressor on the midline of forearm,and the vertical distance from the horizontal plate of the compressor to the puncture site were major risk factors of local complications after TRI.