【摘要】 目的探讨经桡动脉或股动脉途径行冠脉介入治疗术后的效果。方法观察210例接受桡动脉途径(TRI组)及170例接受股动脉途径(TFI组)行冠脉介入治疗患者的术后局部血肿、假性动脉瘤、动静脉瘘、局部感染、迷走反射、排尿困难、急性血栓、心包填塞等发生情况及护理特点。结果两种途径的假性动脉瘤、动静脉瘘、局部感染、急性血栓、心包填塞发生率差异无统计学意义(P>0.05)。TFI组的局部血肿、迷走反射和排尿困难发生率显著高于TRI组,差异有统计学意义(P<0.05)。结论两种途径行冠脉介入治疗均是安全可行的,但桡动脉途径不良反应发生率低,可减轻患者痛苦,术后护理相对简单,患者更易接受。更多还原

【Abstract】 Objective To explore the incidence of complications and care features after two different ways of coronary interventional therapy.Methods 210 patients received radial artery puncture angiography and 170 patients choose femoral artery puncture angiography were included in the present study.The incidence and nursing characteristics of local hematoma,false aneurysms,arteriovenous fistula,local infection,aberrant reflection,difficulty urinating,acute thrombosis and pericardial tamponade were observed.Results There were no significant difference for two different ways in the incidences of false aneurysms,arteriovenous fistula,local infection,acute thrombosis and pericardial tamponade(P>0.05).The incidences of local hematoma,aberrant reflection and difficulty urinating in TFI group were significantly higher than that in TRI group(P<0.05).Conclusion Two kinds of coronary intervention were safe and feasible.The low incidence of adverse reactions of transradial approach could alleviate the suffering of patients and reduce the nursing workload.更多还原