不同途径行冠状动脉介入术后护理方法的探索与实践

目的 比较经股动脉及桡动脉途径进行冠状动脉介入术病人术后并发症的发生率及舒适程度,为减少并发症发牛和提高舒适度制定有效的护理方法.方法 选择2009年1月-2010年10月在我院经股动脉及桡动脉途径行冠状动脉介入诊治病人各200例,术后对病人心理、穿刺局部、外周血管并发症的预防等进行针对性护理.结果 桡动脉组血管并发症发生率为7.5%,股动脉组血管并发症发生率为17%,差异有显著性（P＜0.05）;桡动脉组病人舒适度等相关副作用的发生率明显低于股动脉组（P＜0.01）.结论 经桡动脉途径较股动脉途径行冠脉介入术并发症少、安全、护理方便、病人舒适程度高.

On Nursing Patients after coronary intervention by femoral artery and radial artery

Objective To compare the postoperative complications and comfort of patients after coronary intervention by femoral artery and radial artery in order to reduce complications and improve the comfort level to develop effective methods of care. Methods To study the 200 cases of coronary intervention by femoral artery and radial artery through January 2009 to October 2010 in our Hospital, postoperative nursing including mental care, partial puncture,prevention of peripheral vascular complications. Results The radial artery group of vascular complication rate was 4%,the femoral artery group of vascular complication rate was 11.5%. Comfort of the radial artery group of patients and other related side effects was significantly lower than the femoral artery group. Conclusion Compared with the femoral artery approach, the radial artery approach means less complications, safer, more convenient and higher comfort level for patients.