Effects of shortening decompression interval on patients after percutaneous coronary intervention

XU Sha; GAO Xiwang; GU Huanhua; ZHOU Yahui; YAN Qinghua; WANG Pingfan; CHEN Baozeng; WANG Zhimin

doi:10.12104/j.issn.1674-4748.2024.07.001

Abstract：Objective:To explore the effect of shortening the decompression interval in patients after percutaneous coronary intervention(PCI).Methods:A total of 114 patients who underwent radial PCI admitted to the cardiology department of a three Grade-A general hospital in Liaocheng City from November 2021 to August 2022 were conveniently selected as the study objects,and were divided into experimental group(56 cases)and control group(58 cases)by random number table method.After PCI via the radial artery during hospitalization,both groups of patients received spiral radial artery compression hemostats to stop bleeding.The patients in experimental group were decompressed at least once every 1 hour,while the patients in the control group were routinely decompressed once every 2 hours.Radial artery compression time,complications and comfort were compared between the two groups after radial artery PCI.Results:The compression time of radial artery after PCI in experimental group was(5.1±1.2)h less than that in control group(6.5±2.4)h(P<0.05).There was no significant difference in bleeding complications(P>0.05).There was no significant difference in hematoma complications(P>0.05).In terms of swelling complications,the incidence rates of test group and control group were 3.6%and 20.7%,and the incidence rates of test group and control group were 0%and 12.1%,respectively,and the incidence rates of test group were lower than control group(P=0.013).In terms of comfort,the comfort level of the experimental group was(72.4±7.9)points,and that of the control group was(54.1±6.3)points,which was better in the experimental group than in the control group(P<0.05).Conclusions:Shortening the decompression interval can effectively shorten the time of radial artery compression,reduce complications,improve patient comfort and promote patient recovery after radial artery PCI.