经股动脉和桡动脉PC I术后护理对比体会

目的:比较经桡动脉途径与经股动脉途径行冠状动脉介入(PCI)的护理特点。方法:选择心内科2009年1月～2010年1月进行介入治疗的冠心病患者102例进行研究,随机将102例患者分成两组经桡动脉途径PCI 52例,经股动脉途径PCI 50例,比较两种径路PCI操作术后护理特点。结果:从(1)拔出动脉鞘管前的准备及拔管时间及局部压迫方式;(2)卧床及平均住院时间;(3)穿刺部位观察时间;(4)拔管综合症;(5)尿潴留;(6)低血压;(7)疼痛及情绪变化等七个方面对比分析,经桡动脉途径PCI有明显改善。结论:经桡动脉途径较经股动脉途径行冠脉介入术具有患者无需卧床、痛苦小、护理方便、创伤性小、安全有效,术后局部血管并发症少,住院时间短、经济便捷等优点。

Postoperative Nursing Contrast Report for that the PCI between Trans Femoral Artery and Trans Radial Artery

Objective:To compare the superficial femoral artery way by ways and do coronary intervention(PCI) characteristics of nursing care of.Methods:Choose heart medicine 2009.1～010.1 in interventional therapy of coronary artery disease,102 case study,random will 102 patients into two groups in radial way by 52 cases,the PCI femoral artery way PCI 50 cases,compare two route PCI operation postoperative nursing characteristics.ResuIts:(1)Tuproot artery sheath pipe preparation before and extubated time and compression method;(2) bed and the average length of time;(3)puncture observation time;(4)decannulation syndrome;(5)urinary retention;(6)low blood pressure;(7)pain and emotional changes in seven aspects nursing results.Conclusion:Through femoral artery way than by superficial way do coronary intervention operation with patients without bed,the pain is small,nursing convenient,traumatic small,safe and effective,less postoperative local vascular complications,the length of time is short,the economy is convenient wait for an advantage.