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Evaluate the improved nursing approaches to the forearm hematoma after the transradial coronary intervention.
To analyze retrospectly a total of 97 Patients with forearm hematoma after radial artery PCI in Department of Cardiology, General Hospital of Shenyang military command. From November 2014 to March 2015, 46 patients with forearm hematoma were treated by routine nursing approach including pressuring the hematoma with bandage for 8 hours and relieving once per hour without replacing artery compression hemostasis device. 51 patients from April to October 2015 were treated by improved nursing approach which is applied to shorten the binding strength and dressing time, to raise the limb and compress with magnesium sulfate. To evaluate clinical effect of two groups by swelling subsided time. 3 hours arm circumference and the incidence of radial artery occlusion before leaving hospital.
3 hours arm circumference in improved nursing approach group was shorter compared with routine nursing approach group[(30.0±3.6)cm,(34.5±4.0)cm, P<0.01]. Swelling subsided time was less in improved nursing approach group [(69.2±14.1)min, (99.8±11.6)min,P<0.01]. And the incidence of radial artery occlusion before leaving hospital was no difference between two groups.
Improved nursing approach to the forearm hematoma after the transradial coronary intervention. can make the better clinical effect than the routine nursing approach.