CAJ | 학술논문

目的旨在探讨冠心病经皮冠状动脉介入术(percutaneous coronary intervention,PCI)前选择性会阴部备皮的可行性.方法选取择期拟行PCI的患者,按PCI术前备皮顺序号分为实验组801例和对照组798例.实验组根据会阴部备皮的纳入标准进行选择性备皮,对照组全部进行右前臂及会阴部备皮.比较2组的备皮利用率及护理工时的差异.结果实验组备皮所用工时为(5.58±0.30)h,对照组备皮所用护理工时为(66.50±1.50)h,2组比较差异有统计学意义,t=-1 127.03,P＜0.05.结论冠心病PCI术前选择性会阴部备皮具有可行性.可显著减少护理劳动量,降低护理成本,减少护患心理压力,降低患者费用,并且无经皮途径的感染发生.
목적 지재탐토관심병경피관상동맥개입술(percutaneous coronary intervention,PCI)전선택성회음부비피적가행성.방법 선취택기의행PCI적환자,안PCI술전비피순서호분위실험조801례화대조조798례.실험조근거회음부비피적납입표준진행선택성비피,대조조전부진행우전비급회음부비피.비교2조적비피이용솔급호리공시적차이.결과 실험조비피소용공시위(5.58±0.30)h,대조조비피소용호리공시위(66.50±1.50)h,2조비교차이유통계학의의,t=-1 127.03,P＜0.05.결론 관심병PCI술전선택성회음부비피구유가행성.가현저감소호리노동량,강저호리성본,감소호환심리압력,강저환자비용,병차무경피도경적감염발생.
Objective To explore whether apply selective perineal skin preparation or not is feasible for patients with coronary heart disease (CHD) before percutaneous coronary intervention (PCI).Methods Divided patients with CHD before PCI into the experimental group (801 cases) and the control group(798 cases) according to the hospital number.Selective perineal skin preparation was used in the experimental group,while the right forearm skin preparation was used in all the patients in the control group.The rate of skin preparation and the care hours in the two groups were compared.Results The care hours of skin preparation in the experimental group was (5.58±0.30) h,which was significant shorter than that in the control group,(66.50±1.50) h,t=-1127.03,P＜0.05.Conclusions Before PCI,for patients with CHD,applying selective perineal skin preparation is feasible.It can not only reduce care labor,decrease nursing costs,but also relieve nurse-patient psychological pressure,cut back patients' expenses;and without percutaneous entrance infection.