改良止血法对血液透析患者动脉穿刺点止血效果的观察  

Effect of the improved hemostasia on the bleeding of arteriopuncture point in the hemodialysis patients

作　　者：莫世秀[1] 钟海英[1] 宋晓宇[1] 冯佩兰[1] 

机构地区：[1]湛江中心人民医院,广东湛江524037

出　　处：《现代临床护理》2008年第1期27-28,43,共3页Modern Clinical Nursing

摘　　要：目的观察改良动脉垂直压迫包扎法在直接动脉穿刺行血液透析患者中的应用效果。方法将72例直接动脉穿刺行血液透析患者随机分为实验组和对照组各36例,分别实施包扎540例次,实验组采用手指垂直按压结合胶布包扎,对照组采用弹性绷带直接包扎,比较两组患者止血效果、时间及并发症发生情况。结果实验组患者止血时间明显短于对照组(P<0.01),假性动脉瘤和血肿的发生率较对照组低(均P<0.05)。结论应用改良动脉垂直压迫包扎法能有效减少动脉穿刺并发症的发生率,缩短包扎时间,值得在临床推广应用。Objective To observes the effect of the improved hemostasia on the bleeding of arteriopuncture point in the hemodialysis patients. Methods Seventy-two hemodailysis patients undergoing direct arteriopuncture were divided randomly into the experiment group and the control group with 36 cases in each group. In the control group direct dressing of elastic bandage was adopted,and in the experiment group digital compression and dressing of rubberized fabric was adopted. The hemostasis effect,time and complications on the patients were compared. Results The hemostasis time in the experiment group was shorter than that of the control group （P 〈 0.01）. The complication rate of the experiment group was notably lower than that of the control group（P〈 0.05）. Conclusions The improved pressure point and dressing method for hemostasis can shorten the hemostasis time, reduce the complications by direct arteriopuncture.

关 键 词：动脉穿刺 止血 血液透析 

分 类 号：R473.5[医药卫生—护理学]