不同减压方法在肝动脉介入术后使用动脉压迫止血器的原发性肝癌患者中的应用  

Application of Different Decompression Methods in the Use of Artery Pressure Hemostat after Hepatic Artery Interventional Surgery for Patients with Primary Hepatic Carcinoma

作　　者：许莲琴[1] 毛燕君[2] 赵汉美[1] 王慧[1] 曾春梅[1] 

机构地区：[1]第二军医大学长海医院介入科,上海200433 [2]第二军医大学长海医院护理部

出　　处：《解放军护理杂志》2014年第24期70-71,74,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨不同减压方法在肝动脉介入术后使用动脉压迫止血器的原发性肝癌患者中的应用效果。方法将2013年8-9月第二军医大学长海医院介入科收治的行肝动脉介入术后使用动脉压迫止血器的20例患者作为对照组,2013年10月至2014年2月收治的88例患者作为观察组,对照组采取传统减压方法,观察组对动脉压迫止血器采用不同的减压方法、时间、次数进行改进,比较两组患者局部皮肤损伤的发生率。结果观察组患者使用动脉压迫止血器后,皮下瘀斑及皮肤破损的发生率均明显低于对照组(均P<0.05);穿刺处渗血及局部血肿的发生率与对照组比较,差异均无统计学意义(均P>0.05)。结论改进后的动脉压迫止血器减压方法有利于充分发挥动脉压迫止血器的优势,减少行肝动脉介入术患者的局部皮肤损伤,值得临床推广应用。Objective To discuss the application effect of different decompression methods in the use of artery pressure hemostat after hepatic artery interventional surgery for patients with primary hepatic carci-noma.Methods Totally 20 cases of patients which were admitted from August 2013 to September 2013 were selected as control group,while 88 cases which were admitted from October 2013 to February 2014 were selected as observation group.Patients in control group had conventional decompression method,and observation group received adj ustment in decompression method,time,and times for artery pressure hemo-stat.The incidence rate of local skin damage was compared between two groups.Results After the use of artery pressure hemostat,the incidence rate of ecchymosed skin and skin damage in observation group were significantly lower than which in control group （all P0.05）.Conclusion Advanced artery pressure hemostat decompression method can make the full use of artery pressure hemostat which reduces the incidence rate of local skin damage of patients with hepatic artery interventional surgery,and it worthwhile for clinical trial.

关 键 词：股动脉压迫止血器 皮肤损伤 护理干预 

分 类 号：R815[医药卫生—放射医学]