应用桡动脉压迫带压迫止血的临床观察与护理对策  

The clinical observation and the nursing countermeasures about using the TR band to stop blooding

作　　者：蒋学军[1] 林健[1] 谭爱梅[1] 张学龙[1] 邱伟兰[1] 阮杏菲[1] 陆宇[1] 

机构地区：[1]广东省茂名市人民医院心脏介入室,525000

出　　处：《中国实用护理杂志（下旬版）》2006年第8期4-6,共3页Chinese Journal of Practical Nursing

基　　金：广东省茂名市2006年科研立项课题(编号:2006133)

摘　　要：目的评价桡动脉压迫带(TRBand)的临床应用价值,分析延迟出血的影响因素。方法选取接受桡动脉介入治疗的患者98例,随机分为观察组52例和对照组46例。观察组采用TRBand止血;对照组采用弹性粘贴固定绷带止血。通过2组比较对照,应用单因素分析寻找影响观察组延迟出血的相关因素。结果观察组的并发症发生率显著低于对照组,P<0.05;影响TRBand组延迟出血的相关因素有应用肝素、吸烟、高血压及肥胖等。结论术后应用TRBand操作简便,效果好;但对于有应用肝素、吸烟、高血压等高危因素患者,术后应适当延长压迫观察时间。Objective To evaluate the clinical values of the TR band, analyze the factors about the hemorrhage delay at the same time. Methods Divided 98 patients who had accepted the radial artery interventional radiology into the observation group （52 cases） and the control group （46 cases） randomly. The TR band was used in the observation group and the routine nursing method was used in the control group. Results The incidence rate of complication in the observation group was significant lower than that of in the control group,P〈0.05. The factors which related with the hemorrhage delay were using heparin, smoking, hypertension and the obesity. Conclusion TR band can effective stop the blood, but for patients who have using the heparin or have smoking history, hypertension history or overweight, the observation time should be lasting properly.

关 键 词：桡动脉 桡动脉压迫带 护理 

分 类 号：R459.5[医药卫生—治疗学] R657.2[医药卫生—临床医学]