股动脉穿刺插管术后局部压迫止血的处理  

Effectiveness of compressing hemostasis after femoral artery puncture and encheiresis

作　　者：石荣书[1] 王福容[1] 蒋国军[1] 蔡争[1] 袁丽[1] 

机构地区：[1]遵义医学院附属医院介入科,563003

出　　处：《中国医师进修杂志》2008年第7期5-7,共3页Chinese Journal of Postgraduates of Medicine

基　　金：贵州省科学技术基金项目（20063056）

摘　　要：目的探讨股动脉穿刺插管术后局部压迫止血的处理方法。方法采用自制压迫止血带，对2164例患者共3046例次股动脉穿刺插管术后实施压迫止血。根据压迫制动时间不同分为A、B两组，A组1482例次，压迫制动时间为8—10h；B组1564例次，压迫制动时间为5—6h。分别对两组止血效果、患者对压迫制动不适感及压迫制动并发症进行观察比较。结果A组止血效果良好1470例次，良好率为99，2％，B组止血效果良好1549例次，良好率为99，O％（P〉0．05）；明显不适感发生率A组为63，8％，高于B组的42．9％（P〈0，05）。A组发生2例压迫制动的严重并发症，B组未发生。结论股动脉穿刺插管术后采用自制压迫止血带压迫制动5—6h即可达到较好的止血效果，并可降低压迫制动不适感的发生率。Objective To study the hemostasis effects of compression cords oppressing after femoral artery puncture and encheiresis. Methods Self-made compression cords were used to stop bleeding of femoral artery puncture sites in 2164 patients underwent 3046 cases of arteriopuncture encheiresis. The total cases were divided into group A （ 1482 cases ） and group B （ 1564 cases） according to different treatment of oppression and breaking duration which were 8-10 hours for group A and 5-6 hours for group B, the hemostasis effects, discomfortableness and related complications within two groups were evaluated. Results The proportion of patients who got good hemostasis effects were 99.2% in group A, 99.0% in group B. There was no difference in hemostasis effects between two groups （P 〉 0.05 ）. While the rate of discomfortableness in group A（63.8%） was higher than that in group B（42.9%） （P〈 0.05）. The related serious complications were 2 patients in group A, but no occurred in group B. Conclusion Self-made compression cords oppressing and 5-6 hours breaking time course can achieve both finer hemostasis effect and lower frequency of complications after femoral artery puncture and encheiresis.

关 键 词：股动脉穿刺 介入治疗 压迫止血 

分 类 号：R401[医药卫生—临床医学]