经皮桡动脉与股动脉穿刺冠状动脉介入术后的护理观察

目的比较经桡动脉和股动脉穿刺冠状动脉介入术后的并发症发生情况，并分析相应的护理措施。方法选择220例经皮冠状动脉成形术患者分成对照组（经股动脉穿刺）和观察组（经桡动脉穿刺）各110例，比较2组患者治疗并发症的发生情况并总结相应护理措施。结果观察组患者住院时间和住院费用均显著优于对照组患者，差异具有统计学意义（P＜0.05）; 观察组患者局部小水肿、局部大水肿、迷走神经反射、假性动脉瘤、动静脉瘘、局部感染、肢体水肿以及不适反应等并发症的发生率均显著低于对照组患者（P＜0.05）。结论与经股动脉穿刺相比，经桡动脉穿刺的术后并发症发生率较低，且能在一定程度上缩短住院时间和减轻患者经济负担，因此更值得临床推广应用。

Postoperative nursing observation of coronary intervention by means of percutaneous radial artery puncture and femoral artery puncture

Objective To contrast the complications of coronary intervention by means of percutaneous radial artery puncture and femoral artery puncture, and to analyze the corresponding nursing countermeasures. Methods A total of 220 patients treated with percutaneous coronary angioplasty were divided into control group （patients with Percutaneous radial artery puncture） and observation group （patients with radial artery puncture） in average. The incidence of complications of patients were contrasted and corresponding countermeasures of nursing were summarized. Results The difference was statistically significant （P 〈 0.05）since the observation group was superior to the control group in terms of shortened hospitalization time and lowered spending in hospital. The complications such as light edema, large- scaled edema, vagal reflex, pseudoaneurysm, arteriove- nous fistula and local infection in observation group remarkably lowered than that of the control group （P 〈 0.05）. Conclusion The incidence rate of postoperative complications for the percuta- neous radial artery puncture is lower compared with group of percutaneous femoral artery puncture. The therapy of percutaneous radial artery puncture decreases the incidence rate, shortens the hospitalization time and alleviates the burden of the patients. Therefore, it is worthwhile in clinical practice.