经皮冠状动脉腔内成形术后并发症及相关因素

IF 0.6 4区 农林科学 Q3 AGRICULTURE, MULTIDISCIPLINARY Bioscience Journal Pub Date : 2023-02-24 DOI:10.14393/bj-v39n0a2023-65928
Gabriela Lucas Cardoso, M. M. S. Felix, Maria Beatriz Guimarães Raponi, F. de Martino, P. Pires, M. H. Barbosa
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引用次数: 0

摘要

本研究旨在分析择期经皮腔内冠状动脉成形术患者血管并发症的发生率及相关因素。这项研究是观察性的、定量的和纵向的,随访了50例选择性经皮腔内冠状动脉成形术的患者。使用社会人口学、临床、手术和血管并发症表征仪器收集数据。数据分析采用描述性统计、双变量分析和多元二项逻辑回归。考虑的统计学显著性水平为95%。男性(70%),老年人(54%),诊断为全身性动脉高血压(72%)。经皮入路以桡骨入路为主(64%)。年龄和体重指数被确定为血管并发症的可能危险因素。在50例手术中,有血肿(20%)和出血(10%)的发生率。并发症以经桡骨冠状动脉支架置入术后桡骨早期出院(60%)、股骨大血肿(20%)、股骨小血肿(20%)和出血(出血学术研究联盟2)(100%)为主。结果表明,择期经皮腔内冠状动脉成形术后24小时内血管并发症发生率升高。本研究通过识别ptca后血管并发症、减少其进展、处理其管理和制定卫生保健安全方案,有助于研究、协助和培训卫生和护理。
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Complications after percutaneous transluminal coronary angioplasty and associated factors
This study aimed to analyze the incidence of vascular complications and associated factors in patients undergoing elective percutaneous transluminal coronary angioplasty. This study is observational, quantitative, and longitudinal, and followed 50 patients undergoing elective percutaneous transluminal coronary angioplasty. An instrument for the sociodemographic, clinical, procedure, and vascular complications characterization was used for data collection. And descriptive statistics, bivariate analysis, and multiple binomial logistic regression were used for data analysis. The level of statistical significance considered was 95%. It was detected the prevalence of male patients (70%), elderly (54%), and diagnosed with systemic arterial hypertension (72%). As for the percutaneous access route prevailed the radial approach (64%). Age and body mass index were identified as possible risk factors for vascular complications. In the 50 procedures performed, there was a prevalence of hematomas (20%) and bleeding (10%). Among the complications prevailed radial Early Discharge After Transradial Stenting of Coronary (60%), large femoral hematoma (20%), small femoral hematoma (20%), and bleeding (Bleeding Academic Research Consortium 2) (100%). The results concluded an elevated incidence of vascular complications in the first 24 hours after elective percutaneous transluminal coronary angioplasty. This study contributes to research, assistance, and training in health and nursing by identifying post-PTCA vascular complications, minimizing their progression, handling their management, and developing health care safety protocols.
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来源期刊
Bioscience Journal
Bioscience Journal Agricultural and Biological Sciences-General Agricultural and Biological Sciences
CiteScore
1.00
自引率
0.00%
发文量
90
审稿时长
48 weeks
期刊介绍: The Bioscience Journal is an interdisciplinary electronic journal that publishes scientific articles in the areas of Agricultural Sciences, Biological Sciences and Health Sciences. Its mission is to disseminate new knowledge while contributing to the development of science in the country and in the world. The journal is published in a continuous flow, in English. The opinions and concepts expressed in the published articles are the sole responsibility of their authors.
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