经桡动脉途径行冠状动脉介入治疗术后止血方法选择  

The methods of hemostasis after coronary radial artery intervention

作　　者：谢金美[1] 薛研[2] 常芸[3] 

机构地区：[1]江苏省金坛市人民医院,213200 [2]江苏省徐州医学院 [3]南京医科大学附属南京第一医院

出　　处：《国际护理学杂志》2011年第10期1564-1566,共3页international journal of nursing

摘　　要：目的探讨经桡动脉途径行冠状动脉介入治疗术后穿刺点最佳止血方法和时间。方法将146例经桡动脉途径行冠状动脉介入治疗的患者随机分为A组和B组。A组用日本生产的瑞翁牌弹力带加压型止血器止血。B组用法国优格公司（GRUO）生产的优力舒牌弹力绷带“8”字型包扎止血。观察两组止血方法术后疼痛、出血、血肿、肿胀麻木、血管迷走反射等并发症发生率发生情况和止血时间的长短。结果B组弹力绷带包扎组术后疼痛、出血、血肿、肿胀麻木、血管迷走反射等并发症发生率明显低于A组弹力带加压型止血器组。差异有统计学意义，P〈0．01。两组止血时间均延长至24小时为最佳。结论弹力绷带包扎止血术后并发症少，病人更安全舒适，并且经济适用。延长压迫止血时间能明显减少出血。Objective To evaluate reasonable methods and time span of hemostasis after transradial coronary interven- tion. Methods A total of 146 patients who would undertake transradial coronary intervention were randomly divided into group A and group B. Group A was given radial artery hemostasis device of Ruiweng , made in Japan, to stop bleeding. Group B was give the elastic bandage of URGO , production of French Yogurt Company, to stop bleeding by strap it and cross the arm in eight shape. The time span of hemostasis and the complicating disease such as pain, bleeding, hematoma and numbness were observed. Results The oeeurlng rates of complications in group B were signifieantly lower than those of group A. There were statistical difference between group A and B. It was reasonable to pro- long the time span of hemostasls to 24 hours. Conclusions It seems that using elastle bandage to stop bleeding has more advantages 8ueh as less complications , more safe , more comfortable and cheaper than using radial artery hemostatle device . Extending hemostaals tame to hours seems more safe in reducing bleeding.

关 键 词：冠状动脉介入 加压型止血器 弹力绷带 

分 类 号：R473.5[医药卫生—护理学]