Abstract
Purpose: To compare the surgical indicators, perioperative complications and postoperative psychological status of patients with coronary interventional therapy (CIT) by radical artery and femoral artery puncture approaches. Methods: 120 patients with CIT were divided into femoral artery group (FAG) and radial artery group (RAG) according to the operation ways. The interventional operation was performed by the same surgeon team and methods. Data of surgical indicators and perioperative complications were recorded and collected. The psychological questionare survey was made within 48 hours the after surgery by the hospital anxiety and depression scale (HAD), and the results were scored by the psychiatrist. Results: The age, sex, ethnicity, education level, disease type, and combined diseases of the two groups had homogeneity without statistical difference. There was no obvious difference in X-ray exposure time, contrast agent usage and operation time in two ways (P > 0.05). The success rate of one-time catheterization was higher in FAG than in RAG (P < 0.05). However, the incidence of vascular complications such as subcutaneous hematoma, puncture site bleeding in RAG were significantly lower than those in FAG (P < 0.05). Complications of vascular and puncture site bleeding, the operative limb braking time and hospitalization time were longer in FAG than those in the RAG (P < 0.05).The postoperative anxiety and depression question are data analysis showed patients in both groups had obvious higher anxiety and depression scores compare to Chinese norm. Even though there was no difference on anxiety scores of the patients in two groups, but the depression scores showed that patients in the FAG were more prone to psychological depression than patients in the RAG. Combined with the clinical nursing requirements, the postoperative nursing record charts of patients with CIT were established according to general patient data and physical discomfort with high incidence in the above survey results. Conclusion: CIT via radial artery can reduce the incidence of postoperative complications, postoperative physical discomfort and psychological problems such as anxiety and depression of patients.
Highlights
Coronary heart disease (CHD), as the short for coronary atherosclerotic heart disease, is a common multiple heart disease with the high morbidity and mortality world widely
Complications of vascular and puncture site bleeding, the operative limb braking time and hospitalization time were longer in femoral artery group (FAG) than those in the radial artery group (RAG) (P < 0.05).The postoperative anxiety and depression question are data analysis showed patients in both groups had obvious higher anxiety and depression scores compare to Chinese norm
The patients were divided into femoral artery group and radial artery group according to the operation ways
Summary
Coronary heart disease (CHD), as the short for coronary atherosclerotic heart disease, is a common multiple heart disease with the high morbidity and mortality world widely. Caused by the occurrence of atherosclerotic lesions in the patient's coronary vessels [1] [2]. In clinical treatment of coronary heart disease, in addition to drug treatment, Coronary arterial angiography (CAG) and percutaneous coronary intervention (PCI) have become the important methods for the diagnosis and treatment of CHD [3]. Studies have shown that patients with coronary interventions have more severe psychological stress and anxiety-based emotional disorders, and the psychological state of patients is closely related to the occurrence of surgical accidents and complications [6] [7]. This study was planned to compare the outcomes and psychological status of patients via two access ways of CIT to provide reference for clinical health guidance and psychological intervention
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