持续袖带压迫对改善冠状动脉介入治疗患者前臂血肿的效果研究

Effect of continuous cuff compression in improvement of forearm hematoma in patients with percutaneous coronary intervention

  • 摘要:
    目的 探讨持续袖带压迫对改善经皮冠状动脉介入治疗患者前臂血肿的效果。
    方法 选取2021年9月—2024年9月在本院行冠状动脉介入治疗术后发生前臂血肿的94例急性心肌梗死患者为研究对象, 并按照随机数字表法分为对照组与观察组,每组47例。对照组采用定制血压计联合常规袖带对前臂血肿进行间断压迫,观察组采用定制血压计联合双气囊中空袖带对前臂血肿进行持续压迫。比较2组患者袖带压迫血肿期间的手部紫绀、手腕皮温、手部麻木与肿胀、前臂疼痛、心率等指标,以及袖带压迫解除后臂围及袖带二次压迫、直接护理时间。
    结果 袖带压迫血肿期间,观察组患者手部紫绀、手腕皮温、手部麻木与肿胀、前臂疼痛、心率均优于对照组,差异有统计学意义(P < 0.05); 袖带压迫解除后,观察组臂围及袖带二次压迫、直接护理时间均优于对照组,差异有统计学意义(P < 0.05)。
    结论 应用定制血压计联合双气囊中空袖带持续压迫前臂血肿,可以提高患者舒适度、袖带压迫效果,减少护理工作量。

     

    Abstract:
    Objective To explore the effect of continuous cuff compression in improvement of forearm hematoma in patients with percutaneous coronary intervention.
    Methods A total of 94 patients with coronary intervention for acute myocardial infarction in the hospital from September 2021 to September 2024 were selected as research objects, and they were divided into control group and observation group according to the random number table method, with 47 cases in each group. The control group adopted a customized sphygmomanometer combined with a conventional cuff for intermittent compression of the forearm hematoma, and the observation group adopted a customized sphygmomanometer combined with a double-balloon hollow cuff for continuous compression of the forearm hematoma. The cyanosis of the hand, wrist skin temperature, numbness and swelling of the hand, the forearm painand heart rate during the cuff compression of the hematoma, as well as the arm circumference and cuff secondary compression, and direct nursing time of the patients after releasing the cuff compression were compared between the two groups.
    Results During the period of cuff compression of hematoma, the cyanosis of hand, wrist skin temperature, numbness and swelling of hand, the forearm pain and heart rate of the observation group were significantly better than those of the control group (P < 0.05); after releasing the cuff compression, the arm circumference and cuff secondary compression and direct nursing time of the observation group were significantly better than those of the control group (P < 0.05).
    Conclusion Application of customized sphygmomanometer combined with double-balloon hollow cuff for continuous compression of forearm hematoma can improve patient's comfort degree and cuff compression effect, and reduce nursing workload.

     

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