摘要
目的 对比止血贴与止血气囊对经桡动脉冠状动脉影患者的止血效果。方法 选取2018年5—6月在上海市第一人民医院行经桡动脉冠状动脉造影的患者160例,根据止血方法分为A组和B组,每组80例。A组患者采用止血贴进行止血,B组患者采用止血气囊进行止血;两组患者均于造影后6~8h解除。比较两组患者穿刺点压迫时间、住院时间、疼痛发生率、止血成功率及并发症发生情况。结果 两组患者穿刺点压迫时间、住院时间、疼痛发生率、止血成功率比较,差异无统计学意义(P>0.05)。A组患者压迫点皮肤损伤及压疮发生率低于B组(P<0.05);两组患者压迫背侧皮肤损伤及压疮、急性桡动脉闭塞、出血及血肿、拔管迷走神经反射、皮下瘀斑发生率比较,差异无统计学意义(P>0.05)。结论 止血贴与止血气囊对经桡动冠状动脉影患者的止血效果相似,但与止血贴相比,止血气囊所致压迫点皮肤损伤及压疮发生风险较高。
Objective To compare the hemostatic effect in patients undergoing transradial artery coronary angiography between hemostatic bandage and hemostatic balloon.Methods A total of 160 patients undergoing transradial artery coronary angiography were selected in the First People's Hospital of Shanghai from May to June 2018,and they were divided into A group and B group according to the hemostatic methods,with 80 cases in each group.Patients in A group received hemostatic bandage for hemostasis,while patients in B group received hemostatic balloon for hemostasis;hemostatic bandage or hemostatic bandage was removed 6 to 8 hours after coronary angiography.Compression time of puncture point,hospital stays,incidence of pain,success rate of hemostasis and incidence of complications were compared between the two groups.Results No statistically significant difference of compression time of puncture point,hospital stays,incidence of pain or success rate of hemostasis was found between the two groups(P>0.05).Incidence of skin damage and pressure sores of pressure point in A group was statistically significantly lower than that in B group(P<0.05),while no statistically significant difference of incidence of skin damage and pressure sores of pressure dorsal part,acute radial artery occlusion,bleeding and hematoma,extubation related vagus reflex or subcutaneous ecchymosis was found between the two groups(P>0.05).Conclusion Hemostatic bandage has similar hemostatic effect with hemostatic balloon in patients undergoing transradial artery coronary angiography,but compared with hemostatic bandage,risk of skin damage and pressure sores of pressure point caused by hemostatic balloon is significantly higher.
作者
严春晓
唐勇
朱亚娟
曹衡
姚娴凤
笃铭丽
王秋莉
徐浩
YAN Chunxiao;TANG Yong;ZHU Yajuan;CAO Heng;YAO Xianfeng;DU Mingli;WANG Qiuli;XU Hao(The First People's Hospital of Pinghu,Pinghu 314200,China;The Fourth People's Hospital of Shanghai,Shanghai 200081,China;The First People's Hospital of Shanghai,Shanghai 200080,China)
出处
《实用心脑肺血管病杂志》
2019年第5期86-89,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
冠状血管造影术
桡动脉
止血
止血贴
止血气囊
对比研究
Coronary angiography
Radial artery
Hemostasis
Hemostatic bandage
Hemostatic balloon
Comparative study
