經(jīng)橈動(dòng)脈行冠狀動(dòng)脈造影術(shù)的綜合護(hù)理措施

摘要：目的 研究經(jīng)橈動(dòng)脈行冠狀動(dòng)脈造影術(shù)的綜合護(hù)理措施。方法 選取我院已經(jīng)進(jìn)行經(jīng)橈動(dòng)脈行冠狀動(dòng)脈造影術(shù)的患者112例，隨機(jī)分為觀察組和對照組，每組56例，觀察組給予綜合護(hù)理，對照組給予常規(guī)護(hù)理，比較兩組患者手術(shù)相關(guān)指標(biāo)、護(hù)理滿意度及手術(shù)并發(fā)癥發(fā)生情況。結(jié)果 觀察組手術(shù)時(shí)間住院時(shí)間和繃帶加壓包扎時(shí)間顯著少于對照組（P<0.05）；觀察組滿意度96.43%，對照組滿意度75%，觀察組顯著高于對照組（P<0.05）；兩組手術(shù)并發(fā)癥發(fā)生率比較沒有統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論 綜合護(hù)理可以減少經(jīng)橈動(dòng)脈行冠狀動(dòng)脈造影術(shù)術(shù)后并發(fā)癥，提高護(hù)理滿意度，值得臨床應(yīng)用推廣。

關(guān)鍵詞：橈動(dòng)脈；冠狀動(dòng)脈造影術(shù)；護(hù)理

Comprehensive Nursing Measures for Patients after Coronary Angiography Via Radial Artery

YANG Xiao-yan

（Guanghan People's Hospital，Guanghan 618300，Sichuan ，China）

Abstract：Objective To study the comprehensive nursing measures for patients after coronary angiography via radial artery. Methods 112 patients who had received coronary angiography via radial artery in the hospital were randomly divided into an observation group and a control group， with 56 cases in each group. Patients in the observation group were given comprehensive nursing， whereas those in the control group given routine care. The relevant indicators of surgery， nursing satisfaction and complications in the two groups were compared. Results The operation duration in the observation group and bandage pressure dressing time were significantly shorter than the control group （P<0.05）. Satisfaction in the observation group was 96.43%， significantly higher than the 75% in the control group （P<0.05）. No significant difference was shown in the complications induced by surgery between the two groups （P>0.05）. Conclusion Comprehensive nursing can reduce the postoperative complications induced by coronary angiography via radial artery and improve patients' nursing satisfaction， thus worthwhile to be popularized in clinical application.

Key words：Radial artery； Coronary angiography； Nursing

經(jīng)橈動(dòng)脈行冠狀動(dòng)脈造影術(shù)是診斷冠心病的一種常用且有效的方法，是一種較為安全可靠的診斷技術(shù)[1]。綜合護(hù)理措施能有效減少術(shù)后并發(fā)癥發(fā)生率，縮短住院時(shí)間，減少住院費(fèi)用。本研究對部分患者采用綜合護(hù)理措施，取得良好效果，現(xiàn)將結(jié)果報(bào)告如下。

1 資料與方法

1.1一般資料 選取我院經(jīng)橈動(dòng)脈行冠狀動(dòng)脈造影術(shù)的患者112例，隨機(jī)分為觀察組和對照組，每組56例，觀察組中，男34例，女22例，年齡56～70歲，平均（64.22±5.01）歲，初中以下學(xué)歷11例，初中學(xué)歷22例，初中以上學(xué)歷23例；對照組中，男36例，女20例，年齡57～71歲，平均（65.45±5.48）歲，初中以下學(xué)歷13例，初中學(xué)歷29例，初中以上學(xué)歷14例。兩組患者的性別、年齡、文化程度等方面比較無統(tǒng)計(jì)學(xué)意義（P>0.05）。

1.2方法

1.2.1對照組 患者常規(guī)護(hù)理，具體如下：①詢問患者的一般情況并向患者家屬詢問患者既往病史，②要完全掌握手術(shù)適應(yīng)癥，排除手術(shù)禁忌做好護(hù)理記錄，最后如發(fā)現(xiàn)患者異常及時(shí)與醫(yī)師及患者家屬進(jìn)行溝通。……