经桡动脉路径冠状动脉介入术后穿刺部位并发症的相关因素分析

摘要

Abts ract Objective: To explore the factors affecting the complications of puncture site after the percutaneous coronary intervention ( PCI)of radial artery path .Methods: Selected 208 patients with coronary artery disease underwent PCI in our hospital from January 2015 to January 2016 with weight of.The clinical data of the patients were recorded by self-made form.Multivariate logistic regression was used to analyze the factors affecting the complication of puncture site.Results:There were 41 cases(19.71%)among the 208 patients had complications of puncture site after PCI.Multivariate logistic regression analysis showed that age, widow, divorce, diabetes mellitus, multiple vascular lesions, the use of tirofiban and the duration of PCI were the independent risk factors for the complication of puncture site (P<0.05).Conclusion:Patients with old age, widow, divorce, diabetes mellitus, multiple vascular le-sions, the use of tirofiban or long duration of PCI may have complications of percutaneous puncture after radial artery path surgery .Relevant nursing should focus on such patients in the daily nursing work .%目的：探讨影响经桡动脉路径行经皮冠状动脉介入术（ PCI）后穿刺部位并发症的因素。方法：选择2015年1月～2016年1月我院经桡动脉路径行PCI术的患者208例，通过自制的表格录入患者的临床资料。采用多因素 logistic回归的方法分析影响穿刺部位并发症的因素。结果：208例患者中，共有41例（19．71％）在PCI术后发生穿刺部位并发症。多因素 logistic回归分析结果表明，年龄、丧偶、离异、糖尿病、病变血管支数、术中应用替罗非班和PCI术的持续时间是导致穿刺部位并发症发生的独立危险因素（P＜0．05）。结论：老年、丧偶、离异状态、合并糖尿病、多支病变、围手术期应用替罗非班和手术持续时间较长的患者在经桡动脉路径 PCI术后易发生穿刺部位并发症，提示在日常相关的护理工作中，应将重点关注此类患者。