经桡动脉路径心脏介入术后缩短止血器压迫时间对病人桡动脉并发症的影响  

Influence of shortening compression hemostat time after trans-radial coronary intervention on patients with radial artery complications

作　　者：张倩[1] 郑雪梅[1] 周芳[1] 张文[1] 于涛[1] 

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)

出　　处：《循证护理》2015年第4期175-177,共3页Chinese Evidence-Based Nursing

基　　金：南京医科大学护理学院"十二五"科研项目;编号:NYHL201206

摘　　要：[目的]探讨经桡动脉路径行经皮冠状动脉介入治疗术后采用弹力带加压型(R型)止血器止血适宜的时间。[方法]对245例经桡动脉路径行介入术后的病人使用止血器对桡动脉进行压迫止血,按止血时间不同分为试验组(4h组,n=127)和对照组(6h组,n=118),对两组术后发生出血、血肿、骨筋膜室综合征、静脉回流障碍、动脉闭塞等桡动脉并发症进行比较。[结果]4h解除止血器的病人与6h解除止血器的病人相比,出血、血肿等并发症没有增加(P>0.05);静脉回流障碍明显减少(P<0.05)。[结论]经桡动脉路径行介入术的病人适宜于术后4h解除止血器。Objective：To probe into the optimal pressing time of haemostatic（R mode）device after trans-radial coronary intervention.Methods：A total of 245 patients undergoing trans-radial coronary intervention received haemostasis treatment on radial artery with haemostatic（R model）device and were divided into 4-hour group（n=127）and 6-hour group（n=118）according to the different pressing time.The occurrence of haemorrhage,hematoma,osteofascial compartment syndrome,veinous backflow obstruction and radial arterial occlusion was compared between both groups.Results：Pressing time of 4hours had similar incidence of haemorrhage and hematoma（P〉0.05）but significantly lower incidence of osteofascial compartment syndrome,veinous backflow obstruction and arterial occlusion（P〈0.05）compared with pressing time of 6hours.Conclusion：Patients undergoing trans-radial coronary intervention should be treated with the compressive haemostatic（R model）device for 4hours.

关 键 词：桡动脉 经皮冠状动脉介入治疗 止血器 压迫时间 

分 类 号：R473.5[医药卫生—护理学]