CAJ | 학술논문

目的：评价“鸡尾酒”湿敷对经桡动脉介入诊疗术后手臂肿胀的疗效及安全性。方法将经桡动脉行冠脉介入诊疗术后手臂肿胀的患者分为试验组和对照组，其中试验组47例患者采用“鸡尾酒”湿敷加肿胀传统处理方法（包括抬高患肢，制动处理）；对照组46例患者仅采用肿胀传统处理方法，比较两组患者的疼痛评分、肿胀程度、张力性水疱数量等参数。结果两组患者均未发生肢体坏死，试验组患者疼痛评分（2．62±0．86）分 vs．（5．46±1．02）分、肿胀程度（3．3％±2％ vs．5．8％±3％）及张力性水泡数量（0 vs ．4）均较对照组降低，差异有统计学意义（P＜0．05）。结论集束化治疗方案“鸡尾酒”湿敷法能有效减轻经桡动脉介入穿刺术引起的手臂肿胀等不良反应，安全有效，值得临床推广应用。
목적：평개“계미주”습부대경뇨동맥개입진료술후수비종창적료효급안전성。방법장경뇨동맥행관맥개입진료술후수비종창적환자분위시험조화대조조，기중시험조47례환자채용“계미주”습부가종창전통처리방법（포괄태고환지，제동처리）；대조조46례환자부채용종창전통처리방법，비교량조환자적동통평분、종창정도、장력성수포수량등삼수。결과량조환자균미발생지체배사，시험조환자동통평분（2．62±0．86）분 vs．（5．46±1．02）분、종창정도（3．3％±2％ vs．5．8％±3％）급장력성수포수량（0 vs ．4）균교대조조강저，차이유통계학의의（P＜0．05）。결론집속화치료방안“계미주”습부법능유효감경경뇨동맥개입천자술인기적수비종창등불량반응，안전유효，치득림상추엄응용。
Objective To test the effect and safety of′cocktail′wet compression on alleviate the swelling arm after the inter‐vention through the radial artery .Methods Patients whose arm were swollen after the intervention through radial artery were di‐vided into two groups (experiment group ,47 patients vs .control group ,46 patients) .The experiment group adopt the′cocktail′wet compress plus traditional therapy (including elevate and immobile the swelling arm);the control group only use the traditional ther‐apy .The levels of pain ,swelling index and the number of the blister were compared between two groups .Results None of the limbs necrosis was observed in two groups .The level of pain(2 .62 ± 0 .86 vs .5 .46 ± 1 .02) ,swelling index (3 .3% ± 2% vs .5 .8% ± 3% ) of the arm ,and the number of blister (0 vs .4) in experiment group were lower than in the control group (P<0 .05) .Conclusion The bundle of therapy strategy which named'cocktail'wet compress can lessen the swelling of the arm induced by intervention through radial artery ;it is both safe and effective thus deserves widely application .