覃莹莹 韦柳青 覃洁 肖鑫 兰艳色

【摘要】 目的 探讨经桡动脉冠状动脉介入术后的病人应用自制腕部固定工具的效果。

方法 根据临床病理诊断，选取经桡动脉冠状动脉介入术的冠心病病人180例作为研究对象，所有病人随机分为观察组和对照组，各90例。观察组术后在常规护理的基础上采用自制腕部固定工具进行护理，对照组采用常规护理方法，比较两组病人的护理效果。

结果 两组病人在年龄、性别、BMI等方面比较，差异无统计学意义（P>0.05）;术后观察组术侧手部肿胀或出血率显著降低，前臂的疼痛评分0～2分的比重显著增高，住院基本满意率显著升高，与对照组比较差异均有统计学意义（P<0.05）。

结论 采用自制腕部固定工具可以明显减轻病人术肢腕掌部的疼痛和肿胀，提高病人住院满意度。

【关键词】 冠心病;腕部固定工具;经桡动脉冠状动脉介入术

中图分类号：R473.5   文献标志码：A   DOI：10.3969/j.issn.1003-1383.2021.03.007

Study on the application of homemade wrist fixation tool after transradial coronary intervention

QIN Yinging， WEI Liuqing， QIN Jie， XIAO Xin， LAN Yanse

（Department of Cardiology， Affiliated Hospital of Youjiang Medical University for Nationallities， Baise 533000， Guangxi， China）

【Abstract】 Objective To investigate the effect of wrist fixation tool in patients after transradial coronary intervention.

Methods According to clinicopathological diagnosis， 180 patients with coronary heart disease who underwent transradial coronary intervention were selected as study subjects， and all patients were randomly divided into observation group and control group， with 90 cases in each group. After surgery， the observation group were given homemade wrist fixation tool on the basis of routine nursing， while the control group were given routine nursing. And then， the nursing effects of the two groups were compared.

Results There was no statistically significant difference between the two groups in terms of age， gender， BMI， etc （P > 0.05）. After surgery， the hand swelling or bleeding rate of the observation group significantly decreased， the proportion of forearm pain score 0-2 and the basic satisfaction rate of hospitalization significantly increased， and differences were all statistically significant while comparing with those of the control group （P < 0.05）.

Conclusion Homemade wrist fixation tool can significantly reduce the pain and swelling of the wrist， and improve patient' s satisfaction with hospitalization.

【Key words】 coronary heart disease; wrist fixation tool; transradial coronary intervention

心血管疾病目前已经被公认是人类的“第一杀手”，我国每10名死亡者中就有3名死于心血管疾病[1]，  冠心病是心血管疾病的主要类型之一，患者冠状动脉粥样硬化时会引起血管阻塞，从而造成心肌缺氧、缺血、再灌注损伤等引发冠心病 [2～3]。冠状动脉介入治疗是临床常用的诊断及治疗手段，临床治疗冠心病主要采取经皮冠状动脉介入疗法（percutaneous coronary intervention，PCI），治疗存在不同入路方式，其中以股动脉途径介入治疗和桡动脉途径介入治疗较为常见[4～5]。最近几年经桡动脉冠状动脉介入治疗 （TRI） 技术在国内已广泛……