简化手指操对冠状动脉造影术后桡动脉闭塞及相关并发症的预防作用

张羿; 陈芬; 皮文婕; 王林莎; 赵琳

doi:10.13898/j.cnki.issn.1000-2200.2022.02.034

简化手指操对冠状动脉造影术后桡动脉闭塞及相关并发症的预防作用

Prevention effects of simplified finger exercise on radial artery occlusion and related complications after coronary angiography

摘要

摘要:
目的观察简化手指操对经桡动脉行冠状动脉造影术（CAG）的病人术后发生桡动脉闭塞及肢体麻木疼痛、肿胀情况的干预效果。
方法选取经桡动脉行CAG的326例病人，随机分为观察组（n=163）接受常规护理和简化手指操干预，对照组（n=163）仅接受常规护理，观察2组病人术后的手掌周径、麻木疼痛程度及术后24 h、30 d桡动脉闭塞发生率。
结果观察组病人术后术肢疼痛麻木程度及肿胀程度均低于对照组（P < 0.05~P < 0.01）。观察组术后24 h桡动脉闭塞发生率低于对照组（P < 0.05），2组出血程度和术后30 d桡动脉闭塞发生率差异无统计学意义（P > 0.05）。
结论简化手指操可减少经桡动脉行CAG后肢体麻木疼痛、肿胀发生，并降低术后24 h桡动脉闭塞发生率。

Abstract:
ObjectiveTo observe the intervention effects of simplified finger exercise on the radial artery occlusion and related complications after coronary angiography(CAG).
MethodsA total of 326 patients treated with transradial CAG were randomly divided into the observation group(163 cases) and control group(163 cases).The observation group and control group were given the routine care combined with simplified finger exercise and routine care, respectively.The palm-circumference diameter, degree of numbness and pain, and incidence rate of radial artery occlusion after 24 h and 30 d of operation were observed.
ResultsThe degree of postoperative limb pain, numbness and swelling in observation group were lower than those in control group(P < 0.05 to P < 0.01).The incidence rate of radial artery occlusion in observation group after 24 h of operation was lower than that in control group(P < 0.05), and there was no statistical significance in the bleeding degree and incidence rate of radial artery occlusion after 30 d of operation between two groups(P > 0.05).
ConclusionsThe simplified finger exercise can reduce limb numbness, pain and swelling after CAG via radial artery, and reduce the incidence rate of radial artery occlusion after 24 h of surgery.

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