多功能电子血压计在经桡动脉冠状动脉介入术中并发前臂血肿老年病人中的应用

doi:10.3969/j.issn.1003-9198.2023.07.023

实用老年医学 ›› 2023, Vol. 37 ›› Issue (7): 746-749.doi: 10.3969/j.issn.1003-9198.2023.07.023

多功能电子血压计在经桡动脉冠状动脉介入术中并发前臂血肿老年病人中的应用

周小平, 林松, 朱晓敏, 张俊霞, 乔积民

210006 江苏省南京市,南京医科大学附属南京医院(南京市第一医院)心内科

收稿日期:2022-09-19 出版日期:2023-07-20 发布日期:2023-07-26
通讯作者: 乔积民,Email:47337220@qq.com
基金资助:
国家自然科学基金青年科学基金资助项目(81700398);南京医科大学科技发展基金资助项目(NMUB2018326);国家实用新型专利(ZL201921841348.8);南京市第一医院星火培育护理发展基金

Application of multifunctional electronic sphygmomanometer in elderly patients with forearm hematoma during coronary intervention via radial artery

ZHOU Xiao-ping, LIN Song, ZHU Xiao-min, ZHANG Jun-xia, QIAO Ji-min

Department of Cardiology,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China

Received:2022-09-19 Online:2023-07-20 Published:2023-07-26
Contact: QIAO Ji-min, Email: 47337220@qq.com

摘要/Abstract

摘要： 目的探讨定制多功能电子血压计在经桡动脉冠状动脉介入(PCI)术中并发前臂血肿老年病人中的临床应用效果。方法选取2019年8月至2022年6月在我院PCI术中并发前臂血肿的110例老年病人为研究对象,用随机数表法分为试验组和对照组,每组55例。试验组、对照组分别采用多功能电子血压计、水银血压计袖带加压压迫前臂血肿。比较2组袖带加压期间病人的舒适度,护士的操作频次、操作时间与接受辐射剂量,压迫完成后一次性止血成功率、前臂周径与肿胀程度。结果袖带加压期间,2组病人的舒适度比较,差异无统计学意义(P>0.05),2组护士操作频次、操作时间、接受辐射剂量比较,差异均有统计学意义(P<0.05);压迫完成后,2组一次性止血成功率、前臂周径、肿胀程度比较,差异均有统计学意义(P<0.05)。结论多功能电子血压计在不改变经桡动脉PCI病人舒适度的前提下,可以减少护士操作频次、操作时间、接受辐射剂量,提高一次性止血成功率与压迫效果。

关键词: 经皮冠状动脉介入治疗, 前臂血肿, 血压计, 袖带压迫, 恒压

Abstract: Objective To explore the clinical effect of customized multifunctional electronic sphygmomanometer on forearm hematoma during percutaneous coronary intervention (PCI) via radial artery in the elderly patients. Methods A total of 110 elderly patients with forearm hematoma during PCI in our hospital from August 2019 to June 2022 were selected and divided into trial group and control group by random number table method, with 55 cases in each group. The forearm hematoma was compressed by local pressurization cuff of the multifunctional electronic sphygmomanometer in the trial group, while the forearm hematoma was compressed by mercury sphygmomanometer cuff in the control group. The comfortable degree of the patients, the operating frequency, operating time and radiation exposure dose of nurses during cuff compression, the successful rate of one-time hemostasis, the circumference of forearm and the degree of swelling were compared between the two groups. Results There was no statistically significant difference in comfortable degree between the two groups during the cuff compression (P>0.05). The frequency and the time of nurse's operation, and radiation exposure dose of the nurses were significantly different between the two groups (P<0.05). There were significant differences in the successful rate of one-time hemostasis, the circumference of forearm and the degree of swelling after compression between the two groups(P<0.05). Conclusions The local pressurization cuff by multifunctional electronic sphygmomanometer can reduce the operating frequency, operating time and radiation exposure dose of the nurses, and improve the successful rate of one-time hemostasis, without changing the comfortable degree of the patients receiving transradial PCI.

Key words: percutaneous coronary intervention, forearm hematoma, sphygmomanometer, cuff compression, constant pressure

中图分类号:

R 473

周小平, 林松, 朱晓敏, 张俊霞, 乔积民. 多功能电子血压计在经桡动脉冠状动脉介入术中并发前臂血肿老年病人中的应用[J]. 实用老年医学, 2023, 37(7): 746-749.

ZHOU Xiao-ping, LIN Song, ZHU Xiao-min, ZHANG Jun-xia, QIAO Ji-min. Application of multifunctional electronic sphygmomanometer in elderly patients with forearm hematoma during coronary intervention via radial artery[J]. Practical Geriatrics, 2023, 37(7): 746-749.

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多功能电子血压计在经桡动脉冠状动脉介入术中并发前臂血肿老年病人中的应用

Application of multifunctional electronic sphygmomanometer in elderly patients with forearm hematoma during coronary intervention via radial artery

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