Related factors analysis of peripheral vascular complications after percutaneous coronary intervention in elderly patients with coronary heart disease
10.3760/j.issn.1674-2907.2014.29.015
- VernacularTitle:经皮冠状动脉介入治疗老年冠心病患者周围血管并发症的相关因素分析
- Author:
Fang WANG
1
;
Qier CHEN
;
Jianling TAN
Author Information
1. 650000 昆明，云南省第一人民医院护理部
- Keywords:
Elderly;
Coronary heart disease;
Percutaneous coronary intervention;
Peripheral vascular complication;
Related factors
- From:
Chinese Journal of Modern Nursing
2014;20(29):3707-3710
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the situation of the incidence of peripheral vascular complications after percutaneous coronary intervention (PCI) in elderly patients with coronary heart disease , and to explore its related factors.Methods One hundred and three elderly patients with coronary heart disease after PCI were chosen according to the convenient sampling through the cross-sectional study , and were surveyed by the self-designed demographic tables and disease-related tables, and the data were collected and analyzed .Results The incidence of peripheral vascular complications was 21.4% in the elderly patients with coronary heart disease after PCI, and the incidence of local oozing bleeding was the most (13.6%), followed by 4.9% of the hematoma, 2.9% of subcutaneous ecchymosis around puncture point , 2.9% of forearm swelling.The occurrence of peripheral vascular complications was different in the patients with different age , marital status, combined with hyperlipidemia , puncture site , surgical time , duration of surgery , number of diseased vessels , the use of heparin during operation , postoperative use of Tirofiban and Plavix , and the differences were statistically significant ( P <0.05 ) .Logistic regression analysis showed that the related factors of peripheral vascular complications after PCI included the marital status , puncture site , number of diseased vessels , intraoperative use of heparin , postoperative use of Tirofiban and Plavix .Conclusions The patients with older , non-marriage, emergency surgery , long time of surgery , puncture through the femoral artery , many diseased vessels, severe anterior descending artery stenosis , intraoperative use of large heparin , postoperative use of Tirofiban and Plavix are more susceptible to peripheral vascular complications , which suggests that we should put these patients as the focus of nursing in the future work .
