血管缝合器与人工压迫止血对冠心病介入术后病人的影响  

Comparison study on hemostasis means of vascular seam and by-hand oppress in patients with coronary heart disease after percutaneous transluminal intervention

作　　者：金海君[1] 魏芳[1] 宋冬梅[1] 文淑峰[1] 

机构地区：[1]山东省立医院心内科,济南250021

出　　处：《现代护理》2006年第28期2658-2659,共2页Modern Nursing

摘　　要：目的探讨冠状动脉介入治疗后血管缝合器与人工压迫止血对病人止血时间、制动时间、舒适度及并发症的影响。方法冠状动脉介入治疗的518例病人,随机分为经皮血管缝合器组(观察组)及人工压迫止血组(对照组),观察2组病人止血时间、制动时间、舒适度及并发症的发生率。结果血管缝合器组平均止血时间为(4.0±2.5)min,卧床制动时间为(4.0±1.0)h。人工压迫止血组平均止血时间为(16.0±5.5)min,卧床制动时间为(24.0±4.0)h。观察组止血时间及卧床制动时间均明显少于对照组(P<0.05)。4 h后观察组舒适度明显高于对照组(P<0.05)。血管缝合器组如迷走神经反射发生率明显少于人工压迫止血组(P<0.05)。结论血管缝合器用于冠心病介入术后病人安全有效。Objective To explore the influence of vascular seam and by-hand oppress on hemostasia time, restrict-movement time, comfort degree and complications of patients with coronary heart disease after percutaneous transluminal intervention（PCI）. Methods 518 patients after PCI were divided randomly into study group（used vascular seam） and control group（used by-hand oppress）. Hemostasis time, restrict-movement time,comfort degree and complications of patients in two groups were observed. Results In study group,hemostasis time was （4.0 ± 2.5 ） minutes, restrict- movement time was （4.0 ± 1.0） hours. In control group, hemostasis time was （16.0±5.5） minutes,restrict- movement time was （24.0±4.0） hours. There were significant differences in hemostasis time and restrict- movement time between two groups （P 〈 0.05）. After four hours,the comfort degree of study group was higher than that of control group （P 〈 0.05） and the occurring rate of complications（such as pneumogastric nerve reflect） of study group was lower than that of control group（P〈0.05）. Conclusions Vascular seam is safe and effective for the patients with coronary heart disease after PCI.

关 键 词：冠状动脉介入治疗 止血 血管缝合器 人工压迫 

分 类 号：R541.4[医药卫生—心血管疾病]