Wang Aili, Liu Junying, Peng Wanzhong, Jiang Yang, Guo Lina, Xu Zesheng
Department II of Cardiology, Cangzhou Central Hospital, Cangzhou, China.
Front Surg. 2021 Jun 16;8:676310. doi: 10.3389/fsurg.2021.676310. eCollection 2021.
In order to reduce the risk of invasive blood pressure monitoring and improve the safety and efficiency, this article mainly analyzes the effectiveness and safety of using positive-pressure connector for invasive blood pressure monitoring in patients with coronary artery interventional therapy, so as to improve the invasive blood pressure monitoring method. To study and analyze the application of positive-pressure connector in invasive blood pressure monitoring in coronary interventional therapy. From October 2017 to October 2019, a total of 120 patients admitted to Cangzhou Central Hospital, Cangzhou, Hebei, China, for coronary interventional therapy with invasive blood pressure monitoring were selected and divided into a control group and an experimental group by drawing lots with 60 patients in each group. Positive-pressure connector was used for invasive blood pressure detection in the experimental group, and heparin cap connector was used for invasive blood pressure detection in the control group. The effectiveness and safety of blood pressure monitoring in the two groups were compared, and the influence of different joints on invasive blood pressure monitoring was analyzed. The influencing factors of puncture efficiency in the experimental group (6.67%) were significantly lower than those in the control group (30.00%) ( < 0.05). There was no significant difference in catheter bending between the experimental group and the control group ( > 0.05). The experimental group exhibited a remarkably higher puncture safety rate (93%) compared to the control group (67%) ( < 0.05). There was no significant difference in arterial blood pressure between the two groups with different indwelling time ( > 0.05). The frequency of extubation and reinsertion in the experimental group was significantly lower than that in the control group ( < 0.05). Factors influencing puncture safety in the experimental group were significantly lower than those in the control group ( < 0.05). The use of positive-pressure connector for invasive blood pressure monitoring in patients with coronary artery interventional therapy can greatly improve the safety of blood pressure monitoring and reduce the suffering of patients. Therefore, the application of positive-pressure connector in invasive blood pressure monitoring is worthy of promotion and application in clinical practice.
为降低有创血压监测风险,提高安全性与效率,本文主要分析在冠状动脉介入治疗患者中使用正压接头进行有创血压监测的有效性与安全性,以改进有创血压监测方法。研究分析正压接头在冠状动脉介入治疗有创血压监测中的应用。选取2017年10月至2019年10月在中国河北省沧州市中心医院收治的120例行冠状动脉介入治疗并行有创血压监测的患者,通过抽签分为对照组和试验组,每组60例。试验组采用正压接头进行有创血压检测,对照组采用肝素帽接头进行有创血压检测。比较两组血压监测的有效性和安全性,并分析不同接头对有创血压监测的影响。试验组穿刺效率的影响因素(6.67%)显著低于对照组(30.00%)(<0.05)。试验组与对照组导管弯曲情况无显著差异(>0.05)。试验组穿刺安全率(93%)显著高于对照组(67%)(<0.05)。不同留置时间两组动脉血压无显著差异(>0.05)。试验组拔管及重新置管频率显著低于对照组(<0.05)。试验组穿刺安全影响因素显著低于对照组(<0.05)。在冠状动脉介入治疗患者中使用正压接头进行有创血压监测可大大提高血压监测安全性,减轻患者痛苦。因此,正压接头在有创血压监测中的应用值得在临床实践中推广应用。