心房颤动患者射频消融术后穿刺部位并发症的危险因素研究

doi:10.3761/j.issn.2096-7446.2023.01.004

摘要/Abstract

摘要： 目的分析心房颤动患者行射频消融术后穿刺部位发生并发症的危险因素,并提出相应的护理对策。方法采用病例对照研究设计,纳入2022年3月—6月浙江省某三级甲等医院收治的心房颤动经股静脉射频消融术患者92例,其中并发症组46例为发生穿刺部位并发症的患者,按年龄、性别等条件1:1匹配46例术后无并发症的患者。采用单因素分析和多因素Logistic回归分析心房颤动射频消融术后穿刺部位并发症的独立危险因素。结果 Logistic回归分析显示,BMI（OR=1.372）、患者对加压包扎松紧度感知（OR=3.596）、弹力绷带包扎时间（OR=1.524）、国际标准化比值（OR=10.563）是心房颤动射频消融术后患者穿刺局部并发症的独立危险因素（P<0.05）。结论心房颤动患者射频消融术后穿刺局部并发症发生主要与患者肥胖、感觉加压包扎紧、弹力绷带包扎时间长、国际标准化比值高于正常范围有关,建议针对危险因素采取针对性干预措施,以降低并发症的发生风险。

关键词: 心房颤动, 射频消融术, 手术后并发症, 张力水疱, 血肿, 手术后医护

Abstract: Objective To analyze the risk factors of complications at the puncture site in patients with atrial fibrillation and propose corresponding nursing countermeasures. Methods Using a case-control study design,92 patients with atrial fibrillation by femoral vein radiofrequency ablation admitted in a tertiary class A hospital in Zhejiang Province from March 2022 to June 2022 were included,among which 46 patients had puncture site complications,and 46 patients without postoperative complications were matched 1:1 by age and gender. Univariate analysis and multivariate Logistic regression were used to analyze independent risk factors for puncture site complications after operation. Results Logistic regression analysis showed that BMI（OR=1.372）,perception of local bandage tightness（OR=3.596）,stretch bandage time（OR=1.524）,and international standardized ratio（OR=10.563）were independent risk factors of of puncture site complications after radiofrequency ablation in patients with atrial fibrillation（P<0.05）. Conclusion The incidence of local complications after atrial fibrillation radiofrequency ablation was mainly related to obesity,international standardized ratio and excessive bandage. It is recommended to address risk factors to reduce the risk of complications.

Key words: Atrial Fibrillation, Radiofrequency Ablation, Postoperative Complications, Blisters, Hematoma, Postoperative Care

陈洁莹, 邵翠梅. 心房颤动患者射频消融术后穿刺部位并发症的危险因素研究[J]. 中华急危重症护理杂志, 2023, 4(1): 28-32.

CHEN Jieying, SHAO Cuimei. Study on the risk factors of puncture site complications after radiofrequency ablation in patients with atrial fibrillation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(1): 28-32.

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