摘要
目的探讨自制可调式股动脉止血气囊在先心病患儿介入术后压迫止血中的应用效果。方法选取2020年6~11月我科收治的经股动脉穿刺诊疗术后使用优力舒弹力绷带压迫止血的60例患儿作为对照组,选取2020年12月~2021年5月收治的经股动脉穿刺诊疗术后采用自制可调式股动脉止血气囊压迫止血的60例患儿作为观察组。比较两组患儿穿刺点渗血、血肿、皮下瘀斑和术肢足背温度/颜色改变等并发症发生情况,并采用护理人员工作强度量表(OPC)和照顾者负担量表(ZBI)分别评估术后24 h责任护士工作强度和患儿主要照顾者负担情况。结果观察组患儿穿刺点渗血、血肿、皮下瘀斑和术肢足背温度/颜色改变等并发症发生率为5.00%(3/60)明显低于对照组的16.68%(10/60),差异具有统计学意义(P<0.05)。两组患儿术后24 h护理人员工作强度比较,观察组(12.82±1.81)分显著低于对照组的(15.10±2.32)分,差异有统计学意义(P<0.05)。患儿术后24 h主要照顾者负担评分比较,观察组(38.22±3.50)分显著低于对照组的(41.23±6.26)分,差异有统计学意义(P<0.05)。结论采用自制可调式股动脉止血气囊压迫止血的方法能有效减少患儿股动脉穿刺点相关并发症,减轻责任护士工作强度及患儿主要照顾者的负担,值得临床推广应用。
Objective To explore the application effect of self-made adjustable femoral artery hemostasis balloon in compression hemostasis after interventional operation in children with congenital heart disease.Methods Sixty children who were treated in our department from June to November 2020 who were treated with Eulix elastic bandage to stop bleeding after transfemoral artery puncture were selected as the control group.The patients who were admitted from December 2020 to May 2021 were selected as the control group.Sixty children who were compressed to stop bleeding with a self-made adjustable femoral artery hemostatic balloon were used as the observation group after arterial puncture diagnosis and treatment.Comparing the occurrence of complications such as puncture point bleeding,hematoma,subcutaneous ecchymosis,and temperature/color change of the operative limbs and back of the two groups of children,as well as the use of the nursing staff work intensity scale(OPC)and the caregiver burden scale(ZBI).The work intensity of the responsible nurse and the burden of the main caregiver of the child were assessed respectively.Results The total incidence of complications such as bleeding at the puncture point,hematoma,subcutaneous ecchymosis,and temperature/color change of the surgical limbs in the observation group was significantly lower than the total incidence of 5.00%(3/60)in the control group,the difference was statistically significant(P<0.05);comparing the work intensity of nursing staff in the two groups of children after 24 hours,the observation group’s(12.82±1.81)points was significantly lower than(15.10±2.32)points of the control group(P<0.05);comparing the main caregiver burden scores after 24 h,the observation group’s(38.22±3.50)points was significantly lower than the control group’s(41.23±6.26)points(P<0.05).Conclusion The self-made adjustable femoral artery hemostatic balloon compression hemostasis method can effectively reduce the occurrence of complications such as bleeding at the femoral artery pun
作者
梁榕
黄凯
王晓荣
阮芳
马翠
黄巧娟
玉琴
蒋巧兰
韦斌
黄惠桥
LIANG Rong;HUANG Kai;WANG Xiao-rong;RUAN Fan;MA Cui;HUANG Qiao-juan;YU Qin;JIANG Qiao-lan;WEI Bin;HUANG Hui-qiao(The Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530007,China;The First Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530021,China)
出处
《蛇志》
2022年第3期387-390,422,共5页
Journal of Snake
基金
广西医疗卫生适宜技术开发与推广应用项目(项目名称:可调式股动脉止血气囊袋在小儿介入术后压迫止血的推广应用研究,项目编号:S2017012)。
关键词
止血气囊
先心病
介入术
压迫止血
Hemostatic balloon
Congenital heart disease
Interventional surgery
Compression to stop bleeding
