股动脉穿刺压迫约束带的设计与临床应用  

Design and clinical application of a femoral hemostatic occlusive strap

作　　者：陈春萍[1] 潘莉君[1] 

机构地区：[1]常州市第一人民医院/苏州大学附属第三医院血管外科,江苏常州213003

出　　处：《护理学杂志》2016年第4期26-28,共3页Journal of Nursing Science

摘　　要：目的探讨自制约束带在股动脉穿刺术后压迫止血的有效性和安全性。方法选择经股动脉穿刺行介入治疗的患者196例,将其随机分为观察组(n=96)与对照组(n=100)。对照组常规在股动脉穿刺点用弹力绷带8字型加压包扎的基础上使用沙袋压迫止血6h,观察组在股动脉穿刺点使用自制约束带加压固定止血,两组患者均下肢制动24h。比较两组术后约束相关并发症。结果观察组穿刺部位假性动脉瘤、皮肤过敏反应及排尿困难发生率均为0,皮下淤血和血肿、皮肤过敏反应发生率显著低于对照组(均P<0.05)。结论股动脉穿刺压迫约束带使用安全有效,且护理操作简单。Objective To investigate the effectiveness and safety of a femoral hemostatic occlusive strap for patients after femoral arterial puncture.Methods A total of 196 patients after femoral artery puncture were selected and randomly divided into an experimental group（96cases）and a control group（100cases）.The femoral arterial puncture site in the experimental group was pressed with a femoral hemostatic occlusive strap to stop bleeding,while the puncture site in the control group was bandaged and pressed with a sandbag.Both groups were asked to immobilize their lower limbs for 24 hours.Then the occurrence rates of complications associated with puncture site compression were compared between the two groups.Results Compared with the patients in the control group,no one in the experimental group developed pseudoaneurysm,skin allergies,or dysuria,and the occurrence rate of subcutaneous ecchymosis and hematoma,and skin allergies at the puncture site was significantly lower（P〈0.05 for both）.Conclusion The femoral hemostatic occlusive strap used at femoral arterial puncture site is safe and effective.

关 键 词：股动脉穿刺 介入治疗 约束带 皮下淤血 血肿 假性动脉瘤 

分 类 号：R473.6[医药卫生—护理学]