摘要
目的探讨选择性桡动脉压迫对冠脉介入治疗老年患者前臂血肿的改善效果。方法将冠脉介入治疗并发前臂血肿的152例老年患者随机分成对照组与观察组各76例。对照组采用脉搏波多功能血压计普通袖带对前臂血肿进行压迫,观察组采用定制双气囊中空袖带对前臂血肿进行选择性桡动脉压迫。比较两组患者袖带压迫期间拇指皮温、疼痛评分、手部肿胀程度、舒适度、心率、血压;袖带压迫解除前手部麻木与解除后前臂周径、袖带压迫一次性有效率。结果袖带压迫期间,观察组拇指皮温、疼痛评分、手部肿胀程度、舒适度、心率、血压、手部麻木程度显著优于对照组(均P<0.05);袖带压迫解除后,两组周径、压迫一次性有效率比较,差异无统计学意义(均P>0.05)。结论对冠脉介入治疗并发前臂血肿老年患者应用定制双气囊中空袖带进行选择性桡动脉压迫,在保证袖带有效压迫效果的同时,不影响尺动脉、尺静脉前向血流,可提高患者袖带压迫期间的舒适度。
Objective To explore the effect of selective radial artery compression on alleviating forearm hematoma in elderly patients undergoing coronary intervention.Methods A total of 152 elderly patients with forearm hematoma after coronary interventional therapy were selected and randomized into 2 groups.The forearm hematoma in the control group(n=76)was compressed with the ordinary cuff of pulse wave multifunctional sphygmomanometer,while the forearm hematoma in the experimental group(n=76)was compressed with a customized hollow cuff with dual airbags.The outcomes of thumb skin temperature,pain score,hand swelling degree,comfort level,heart rate and blood pressure were compared between the two groups during cuff compression.Hand numbness before cuff compression relief,forearm circumference after relief,and the rate of effective compression at the first attempt were also compared.Results During cuff compression,thumb skin temperature,pain score,hand swelling,comfort,heart rate,blood pressure,and hand numbness were better in the experimental group than in the control group(all P<0.05).The forearm circumference,and rate of effective compression at the first attempt had no significant difference between the two groups(both P>0.05).Conclusion Application of a customized dual airbag hollow cuff for selective radial artery compression of forearm hematomas,ensures effective compression of the cuff without blocking the forward blood flow of the ulnar artery and ulnar vein,and improves patients′comfort during cuff compression.
作者
乔积民
施一航
朱晓敏
王志梅
Qiao Jimin;Shi Yihang;Zhu Xiaomin;Wang Zhimei(Department of Emergency,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第16期26-29,共4页
Journal of Nursing Science
基金
国家自然科学基金青年科学基金资助项目(82200385)
南京市卫生科技发展基金项目(YKK23121)
南京市第一医院星火培育护理发展基金项目。
关键词
老年人
冠心病
冠状动脉
介入手术
桡动脉
压迫止血
血肿
袖带压迫
the elderly
coronary heart disease
coronary artery
interventional surgery
radial artery
hemostasis by compression
hematoma
cuff compression
