CAJ | 학술논문

目的：探讨小密封瓶在治疗冠状动脉造影术后假性动脉瘤中的临床应用价值。方法选择64例本院收治的冠状动脉造影术后假性动脉瘤患者，按照随机数字表法将其随机分为观察组和对照组，每组32例。对照组患者采用弹力绷带包扎局部，观察组患者在此基础上应用小密封瓶加压动脉穿刺处。采用汉密尔顿焦虑量表（ HAMA）评价两组患者的焦虑症状，比较两组治愈时间、住院时间及术后满意度情况。结果观察组患者治愈时间、住院时间、焦虑症状积分分别为（2．7±0．6） d，（4．8±1．6） d，（1．9±0．8）分，均低于对照组的（5．4±1．3）d，（7．2±2．1）d，（2．7±1．1）分，差异有统计学意义（t值分别为10．668，5．142，3．327；P＜0．01）；观察组患者满意度93．6％，对照组为65．6％，两组比较差异有统计学意义（χ2＝7．819，P＜0．01）。结论弹力绷带包扎局部联合小密封瓶加压动脉穿刺处能缩短冠状动脉造影术后假性动脉瘤患者的治愈时间及住院时间，促进术肢恢复，缓解焦虑症状，提高患者满意度，值得临床推广应用。
목적：탐토소밀봉병재치료관상동맥조영술후가성동맥류중적림상응용개치。방법선택64례본원수치적관상동맥조영술후가성동맥류환자，안조수궤수자표법장기수궤분위관찰조화대조조，매조32례。대조조환자채용탄력붕대포찰국부，관찰조환자재차기출상응용소밀봉병가압동맥천자처。채용한밀이돈초필량표（ HAMA）평개량조환자적초필증상，비교량조치유시간、주원시간급술후만의도정황。결과관찰조환자치유시간、주원시간、초필증상적분분별위（2．7±0．6） d，（4．8±1．6） d，（1．9±0．8）분，균저우대조조적（5．4±1．3）d，（7．2±2．1）d，（2．7±1．1）분，차이유통계학의의（t치분별위10．668，5．142，3．327；P＜0．01）；관찰조환자만의도93．6％，대조조위65．6％，량조비교차이유통계학의의（χ2＝7．819，P＜0．01）。결론탄력붕대포찰국부연합소밀봉병가압동맥천자처능축단관상동맥조영술후가성동맥류환자적치유시간급주원시간，촉진술지회복，완해초필증상，제고환자만의도，치득림상추엄응용。
Objective To explore the clinical application value of a small sealed bottle in the pseudoaneurysm after coronary arteriography .Methods Sixty-four with pseudoaneurysm after coronary arteriography selected in second people ’ s hospital of Wuxi city were randomly divided into observation group and control group , 32 cases in each group .Control group received elastic bandage pressing arterial puncture part , while observation group received small sealed bottle pressing .Hamilton anxiety scale ( HAMA) was applied to evaluate the anxiety symptoms of patients in two groups , and the healed time , hospital stays and postoperative satisfactory degrees were also compared .Results The healed time [(2.7 ±0.6) d], hospital stays [(4.8 ±1.6)d] and anxiety symptom scores (1.9 ±0.8) in observation group were significantly shorter/lower than in control group [(5.4 ±1.3) d, (7.2 ±2.1) d, (2.7 ±1.1)], and all the differences had statistical significance (t=10.668,5.142,3.327,respectively;P<0.01).Besides, the satisfactory degree of patients in observation group (93.6%) was evidently higher than that in control group (65.6%), and statistically significance difference was presented (χ2 =7.819,P<0.01).Conclusions The local part bound up by elastic bandage in combination with a small sealed bottle pressed the arterial puncture part can obviously shorten the healed time and hospital stays of patients with pseudoaneurysm after coronary arteriography , promote the surgical limb recovery , alleviate anxiety symptoms and improve the patients ’ satisfactory degree , so it deserves to be popularized and promoted in clinic .