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目的:探讨经皮穿刺桡动脉行冠状动脉造影(CAG)及冠状动脉介入治疗术(PCI)的护理方法,来保证手术的顺利进行以及减少手术并发症的发生。方法:选择中山大学附属第三医院2009年10月至2012年10月心内科行CAG或PCI术的患者总计195例,采取了针对性护理措施,并且密切观察护理效果和并发症的发生。结果:195例患者中,5例因血管畸形,9例因桡动脉痉挛严重而改为经股动脉途径,余181例手术均顺利完成,无严重并发症发生。结论:经桡动脉行CAG和PCI术是安全的,并且手术的效果与医生的技术水平、患者的配合及高水准护理水平密切相关。
Objective: To investigate the percutaneous puncture radial artery coronary angiography (CAG) and coronary intervention (PCI) nursing methods to ensure the smooth operation and reduce the incidence of surgical complications. Methods: A total of 195 patients underwent CAG or PCI from the Third Affiliated Hospital of Sun Yat-sen University from October 2009 to October 2012 were selected. Targeted nursing measures were taken and the effects of nursing and complication were observed closely. Results: Of the 195 patients, 5 were replaced by femoral artery due to vascular malformations and 9 due to severe radial spasm. All 181 patients were successfully completed without serious complications. Conclusion: Transradial CAG and PCI are safe, and the effect of the operation is closely related to the technical level of the doctor, patient cooperation and high standard of care.