冠脉介入术后股动脉拔鞘管致血管迷走神经反射的相关因素分析及干预对策

摘要

Objective To observe and analyze the relevant factors of femoral artery sheath made vasovagal reaction after PCI ,and propose the intervention measures .Methods The incidence and interventive measures of 37 cases with vasovagal re-action caused by femoral artery sheath after PCI was collected ,and the reasons after operation were analyzed ,and the inter-ventive measures were summarized .Results After timely nursing and salvage ,the symptoms of 37 patients relieved ,and the patients were cured .Through analysis ,the risk factors of vasovagal reaction caused by femoral artery sheath after PCI included intervention ways ,age ,sex ,excessive compressing hemostasis ,mental stress ,hypovolemia and pain .Conclusion After analy-zing the factors related to vasovagal reaction caused by femoral artery sheath after PCI ,the interventive measures are summa-rized .We not only need to take effective and active nursing measures for causes of disease ,but also need to enhance nursing be-fore operation ,in operation and after operation in order to prevent and reduce the incidence of severe complications .%目的：分析冠脉介入术（PCI）后股动脉拔鞘管致血管迷走神经反射的相关因素，并提出相对应的干预对策。方法选取343例冠脉介入术后由股动脉拔鞘管所致血管迷走神经反射的37例患者发病情况和相关处理，分析术后股动脉拔鞘管发生血管迷走神经反射的原因及相关干预对策。结果经及时抢救及护理，37例均痊愈。冠脉介入术后股动脉抜鞘管引发血管迷走神经反射的主要危险因素有介入方式、年龄、性别、过度压迫止血、精神紧张、血容量不足、疼痛等。结论通过对37例冠脉介入术后股动脉拔鞘管致血管迷走神经反射的相关因素分析，总结出相应的干预对策，针对病因采取积极有效的护理措施，加强在术前、术中及术后的护理，以预防和减少严重并发症的发生率。