老年冠状动脉介入治疗患者术后2种血管闭合器止血的临床观察  

Clinical observation of two types vascular closures in old patients after percutaneous coronary intervention

作　　者：赵东晖[1] 柳景华[1] 郝蓬[1] 方冬平[1] 郭成军[1] 张英川[1] 

机构地区：[1]首都医科大学附属北京安贞医院心内科21病房,北京100029

出　　处：《心肺血管病杂志》2008年第6期337-339,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探讨血管闭合器Angio-Seal和Perclose在老年冠状动脉介入治疗患者应用的临床效果。方法:共682例老年(>60岁)经股动脉行冠状动脉介入治疗患者,分为3组,A、B 2组分别使用Angio-Seal和Perclose闭合器进行股动脉穿刺点止血,C组采用徒手压迫法止血,观察3组患者止血时间、卧床制动时间以及并发症的情况。结果:A组、B组及C组的止血成功率分别为99.6%,98.6%,100%,差异无统计学意义,P>0.05;止血时间分别为(1.5±0.8)min、(1.9±1.2)min和(19.5±5.8)min,卧床制动时间分别为(5.1±1.5)h、(6.2±1.7)h和(17.8±4.4)h,A组和B组明显短于C组,P<0.05;血管并发症发生率3组分别为4.6%、6.5%和9.7%,A组和B组亦明显少于C组,P<0.05。结论:对于60岁以上的老年冠状动脉介入治疗患者,术后应用Angio-Seal和Perclose血管闭合装置同样安全有效,优于徒手压迫止血法。Objective：To analyze the clinical safety and efficacy of vascular closure devices both Anglo-seal and Perclose used in old patients after coronary artery intervention. Method：682 cases, aged over 60years, were divided in to 3 groups using Anglo-Seal（ A）, Perelose （B） and standard manual compression （C） to stop bleeding respectively. Hemostasis, bed rest time and complication rate were compared among groups. Result： The Hemostasis time af3 groupswas（1.5±0.8） min,（1.9± 1.2） rain and （19.5±5.8） rain. Bed rest time was （5.1 ± 1.5） hours, （6.2 ±1.7 ） hours and （ 17.8 ± 4.4） hours. Vascular complication rates were 4.6%, 6.5 % and 9.7 %. Conclusion：In old patients after coronary artery intervention Anglo-seal and Perclose arterial closure devices were safe and effective and were superior to standard manual compression.

关 键 词：血管闭合装置 止血 冠状动脉介入治疗 

分 类 号：R654.2[医药卫生—外科学]