CAJ | 학술논문

目的探讨止血器位置与经桡动脉行冠状动脉介入诊治术患者术后远端肢体肿胀的关系,为制定术后预防远端肢体肿胀措施提供依据.方法选择经桡动脉行冠状动脉介入诊治术后患者198例,采用前瞻性研究方法,以穿刺口远端肢体肿胀为阳性结局,分为发生肿胀组69例,未发生肿胀组129例,比较肿胀发生组与未发生组的桡动脉止血器压迫位置.用SPSS 18.0统计软件进行数据统计分析.结果 198例患者术后肿胀发生率为34.85％；两组压板中点与腕第二横纹的距离,发生肿胀组与未发生肿胀组中位数相同,发生肿胀组平均秩次为115.44,未发生肿胀组为90.97,两组比较差异有统计学意义(Z=-2.963,P=0.003).结论止血器压板中点与腕第二横纹距离＞2.9 cm是经桡动脉行冠状动脉介入诊治术后远端肢体肿胀的主要原因.
목적 탐토지혈기위치여경뇨동맥행관상동맥개입진치술환자술후원단지체종창적관계,위제정술후예방원단지체종창조시제공의거.방법 선택경뇨동맥행관상동맥개입진치술후환자198례,채용전첨성연구방법,이천자구원단지체종창위양성결국,분위발생종창조69례,미발생종창조129례,비교종창발생조여미발생조적뇨동맥지혈기압박위치.용SPSS 18.0통계연건진행수거통계분석.결과 198례환자술후종창발생솔위34.85％；량조압판중점여완제이횡문적거리,발생종창조여미발생종창조중위수상동,발생종창조평균질차위115.44,미발생종창조위90.97,량조비교차이유통계학의의(Z=-2.963,P=0.003).결론 지혈기압판중점여완제이횡문거리＞2.9 cm시경뇨동맥행관상동맥개입진치술후원단지체종창적주요원인.
Objective To explore the effect of compressor position on swelling of extremity distal after trans-radial coronary intervention (TRI) in order to provide guidance for the prevention of post-operative swelling.Methods A total of 198 cases of TRI performed at the Department of Interventional Cardiology of 1st Affiliated Hospital of Sun Yat-sen University from August 2011 to December 2011 were included in the present study.Data were collected before,during and after TRI by means of direct inquiry,point-of-care observation and measurements,laboratory testing,and subsequent telephone follow-up.An increment of 0.5cm or more of the thumb and/or middle finger circumference in the operated extremity,accompanied by skin and temperature changes,was considered as swelling.The position of radial compressor was compared between swelling group (n=69) and non-swelling group (n =129).SPSS 18.0 software was applied for all statistical analyses.Results The gender ratio and age showed no statistically significant between swelling group and no swelling group.The incidence of swelling was 34.85％.The median of the vertical distance from the horizontal plate of the compression device to the second wrist crease between two groups was same.The average rank was 115.44 in swelling group,and 90.97 in non-swelling group,and the difference was statistically significant (Z =-2.963,P =0.003).Conclusions A greater vertical distance (more than 2.9 cm) from the horizontal plate of the compression device to the second wrist crease is associated with an increased risk of swelling complications of the extremity distal to puncture site following TRI.