摘要
目的分析经鼻烟窝远端桡动脉穿刺行冠脉介入治疗患者的临床效果。方法随机选取2021年1月—2023年6月在邳州市中医院行冠脉介入治疗的70例患者为研究对象,按照随机数表法分为对照组(经桡动脉入径行冠脉介入治疗)和观察组(经鼻烟窝远端桡动脉穿刺行冠脉介入治疗),各35例。比较两组穿刺情况、手术情况、术后动脉压迫及住院时间、疼痛情况及并发症发生率。结果观察组穿刺次数少于对照组,差异有统计学意义(P<0.05);两组穿刺时间、手术时间、X线曝光时间及造影剂使用量对比,差异无统计学意义(P>0.05);观察组术后动脉压迫时间、住院时间均较对照组更短,差异有统计学意义(P<0.05);观察组疼痛评分为(1.49±0.31)分低于对照组,差异有统计学意义(t=5.728,P<0.05);观察组并发症发生率为2.86%,低于对照组,差异有统计学意义(χ^(2)=4.590,P<0.05)。结论经鼻烟窝远端桡动脉穿刺行冠脉介入治疗,可以减少穿刺次数,缩短患者动脉压迫及住院时间,疼痛较轻且并发症少。
Objective To analyze the clinical outcomes of patients undergoing coronary intervention via distal radial artery puncture through the snuff bottle.Methods A total of 70 patients who underwent coronary intervention in Pizhou Hospital of Traditional Chinese Medicine from January 2021 to June 2023 were randomly selected as the research objects.According to the random number table method,they were divided into the control group(coronary intervention through radial artery)and the observation group(coronary intervention through radial artery puncture at the distal end of snuff pit),with 35 cases in each group.The puncture condition,operation condition,postoperative arterial compression,hospitalization time,pain and the incidence of complications were compared between the two groups.Results The number of punctures in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in puncture time,operation time,X-ray exposure time and contrast agent dosage between the two groups(P>0.05).The postoperative arterial compression time and hospitalization time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The pain score of the observation group was(1.49±0.31)points,lower than that of the control group,and the difference was statistically significant(t=5.728,P<0.05).The incidence of complications in the observation group was 2.86%,which was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.590,P<0.05).Conclusion Coronary intervention via distal radial artery puncture through the snuff bottle can reduce the number of punctures,shorten patients'arterial compression and hospitalization time,with less pain and fewer complications.
作者
陈通
李拥军
CHEN Tong;LI Yongjun(Department of Cardiovascular Medicine,Pizhou Hospital of Traditional Chinese Medicine,Pizhou,Jiangsu Province,221300 China;Department of Cardiology,Zhongda Hospital Affiliated to Southeast University,Nanjing,Jiangsu Province,210009 China)
出处
《中外医疗》
2023年第28期52-55,共4页
China & Foreign Medical Treatment
关键词
鼻烟窝
远端桡动脉
穿刺
冠脉介入治疗
Snuff bottle
Distal radial artery
Puncture
Coronary interventional therapy
