经桡动脉与股动脉 2 种途径行冠状动脉介入术的效果比较及护理

目的探讨经桡动脉与股动脉2种途径行冠状动脉介入术诊治冠心病的利弊，以及针对不同的途径采取相应的护理措施。方法将645例冠心病患者按介入途径不同分为桡动脉组510例和股动脉组135例，比较2组患者手术并发症和主观不适等发生率。结果桡动脉组患者术后卧床时间、住院时间短于股动脉组，迷走神经反射、患者主观不适、皮下血肿、假性动脉瘤、排便困难、术后低血压的发生率均低于股动脉组。结论2种穿刺途径行冠状动脉介入诊疗均安全、可行。经桡动脉穿刺不良反应发生率低，术后护理相对简单，可提高护理人员工作效率，患者更易接受。

Effect comparison of coronary artery intervention through radial artery and femoral artery and the nursing

Objective To study the plusses and minuses of coronary artery intervention through radial artery and femoral artery in the treatment of coronary heart disease and the nursing. Methods Totally 645 patients with coronary heart disease were divided into radial artery group (n=510) and femoral artery group (n=135). The incidence of operation complications and subjective discomfort in 2 groups were compared. Results The time of patients on bed in hospital after operation of the radial artery group were shorter than that of the femoral artery group. The incidence of vagus reflex, subjective discomfort, subcutaneous hematoma, pseudoaneurysm, difficult defecation in the radial artery group were lower than that in the femoral artery group. Conclusion Two kinds of puncture ways for coronary intervention are safe, feasible. The adverse reactions of puncture through radial artery are lower. Postoperative care of coronary artery intervention through radial artery is relatively simple, and it can improve the efficiency of nursing staff. Patients are more likely to accept.