| 匡霞,李珍,钟芳,等.改良介入上肢垫在经桡动脉冠状动脉介入治疗术后护理中的应用[J].安徽医药,2017,21(6):1147-1149. |
| 改良介入上肢垫在经桡动脉冠状动脉介入治疗术后护理中的应用 |
| Application of modified upper limb pad in nursing care of patients undergoing transradial coronary intervention |
| 投稿时间：2017-02-11 |
| DOI： |
| 中文关键词: 冠状动脉介入治疗 桡动脉 介入上肢垫 护理 |
| 英文关键词: Percutaneous coronary intervention Radial artery Interventional upper limb pad Nursing |
| 基金项目:皖南医学院弋矶山医院三新项目(Y1674)增加了病人的痛苦及心理负担。抬高肢体高于心脏水平有利于促进静脉回流、减轻症状。但抬高方式及抬高角度目前没有明确的标准。笔者将改良介入上肢垫应用于TRI术后病人,并对120例接受TRI的病人进行术后穿刺肢体不同抬高方式及角度的对比研究,以探讨TRI术后最合适体位。 |
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| 中文摘要: |
| 目的 评价改良介入上肢垫在经桡动脉冠状动脉介入治疗(TRI)术后护理中的应用价值。方法 选择经桡动脉冠状动脉介入治疗病人120例,按介入治疗时间顺序分为对照组、观察1组和观察2组各40例,三组病人在术后常规护理的基础上采用不同方式抬高术侧上肢,对照组采用衣物折叠垫高,观察1组应用常用介入上肢垫抬高30°,观察2组应用改良介入上肢垫抬高45°。结果 TRI术后4、12 h 观察1组、2组术侧腕掌部疼痛评分、肿胀程度、肿胀消除速率及指端动脉血氧饱和度(SaO2)均优于对照组(P＜0.05),其中观察2组肿胀、疼痛程度最轻,肿胀消除最快,效果最好；观察2组术日晚睡眠质量明显优于其他两组(P＜0.05)。结论 TRI术后护理中应用改良介入上肢垫,能有效减轻术侧肢体腕掌部疼痛及肿胀程度,提高肿胀消除速率,改善病人睡眠质量。 |
| 英文摘要: |
| Objective The aim of this study is to evaluate the application value of modified intervention arm pad in nursing care of patients undergoing transradial coronary intervention(TRI).Methods 120 patients undergoing transradial coronary intervention were divided into control group,experimental group 1 and experimental 2,according to sequence of TRI,40 in each group.Patients in control lifted operative side arm via clothes.Patients in group 1 lifted operative side arm for 30° via intervention arm pad.Patients in group 2 lifted operative side arm for 45° via modified intervention arm pad.Results Pain score,swelling degree,relief rate of swelling and fingertip SaO2 of operative carpal palm in group 1 and group 2 were better than control at 4 and 12 h after TRI (P<0.05).Moreover,Sleep quality of group 2 have significantly better than other two groups.Pain score,swelling degree,relief rate of swelling and fingertip SaO2 of operative side in group 2 were the best among 3 groups (P<0.05).Conclusion Modified intervention arm pad in nursing care after TRI can significantly reduce the pain and swelling of operative carpal palm,improve the relief rate of swelling and sleep quality. |
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