Effects of remote ischemic preconditioning on comfort level of patients after radial artery intervention
Jiezheng Hu, Zhi Yong Lu, Yongmei Duan, Junhui Zhang · Zhonghua xiandai huli zazhi · 2020
Objective To evaluate the effect of remote ischemic preconditioning on comfort level of patients after radial artery intervention. Methods A total of 160 patients with coronary heart disease were selected from the Second Ward of Cardiology Department of the First Affiliated Hospital of Xinjiang Medical University from June to December 2018 by convenience sampling method. All the patients underwent transradial angiography and intervention (TAI) and were randomly divided into the control group (80 cases) and the intervention group (80 cases) . The control group received routine nursing care, while the intervention group received routine nursing care and remote ischemic preconditioning intervention for 3 times within 24 hours before surgery. The difference of vascular complications and comfort degree between the two groups within 24 hours after operation were compared. Results There was significant difference in the degree of swelling and pain between the two groups 12 hours after TAI (P 0.05) . There was significant difference in the occurrence of radial artery stenosis and vagal reflex between the two groups (P<0.05) . Conclusions Remote ischemic preconditioning can effectively reduce the incidence of postoperative complications such as radial artery stenosis in patients undergoing coronary intervention via radial artery, and improve the postoperative comfort level of patients. Key words: Ischemic preconditioning; Transradial angiography and intervention; Comfort; Complication