冷沙包对皮肤冠状动脉干预诱导的血管并发症和疼痛的影响:随机对照试验
Gülzade Duygun Pamuk1, Ayşe Özkaraman2
1Department of Cardiology, Eskişehir City Hospital, Eskişehir, Turkey.
Florence Nightingale journal of nursing
|March 4, 2024
概括
穿皮冠状动脉干预后使用冷沙包 (CSP) 有效减少出血和疼痛. 这种方法还减少了伤,为术后护理提供了有益的方法.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管医学 血管医学
背景情况:
- 穿皮冠状动脉干预 (PCI) 是一个常见的程序.
- 血管并发症和疼痛是PCI后经常出现的问题.
- 需要有效的管理策略来改善患者的治疗结果.
研究的目的:
- 评估冷沙包 (CSP) 应用在管理PCI后的血管并发症和疼痛方面的有效性.
- 将CSP的结果与正常温度的沙包 (NSP) 进行比较.
主要方法:
- 进行了一项随机对照试验,涉及接受PCI的患者.
- 患者被分配到冷沙包 (CSP) 组或正常沙包 (NSP) 组.
- 在CSP组中,在大约18.9°C的5公斤的沙包被应用到大腿部区域20分钟,而NSP组接受了24.1°C的沙包.
主要成果:
- 与NSP组相比,CSP组在手术后2,3小时和12小时出血明显减少.
- 在多个时间点 (长达24小时) 中,CSP组的形直径较小.
- 在整个24小时观察期间,CSP组的疼痛分数与NSP组相比始终较低.
结论:
- 在PCI后的最初20分钟内施用冷沙包对预防出血有效.
- 冷沙包的应用显著降低了PCI后的疼痛强度和伤程度.
- CSP是一种有希望的非侵入性方法,可以提高患者的舒适度,并减少皮肤穿透冠状动脉干预后的并发症.
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