股动脉压迫止血器和人工压迫止血法对股动脉穿刺止血效果的比较  

Study of efficacy and safety between femoral artery compression hemostat and artificial compression hemostasis after puncture of femoral artery

作　　者：瓜超君 李铁军[1] 马淑梅[1] 

机构地区：[1]中国医科大学附属盛京医院心内科,沈阳110004

出　　处：《中国医师进修杂志》2017年第11期975-978,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 比较股动脉压迫止血器和人工压迫止血法在股动脉穿刺术后止血的有效性与安全性.方法 回顾性分析125例行经皮股动脉穿刺介入治疗患者的临床资料,将患者按止血方法分为两组：人工压迫止血组（68例）和股动脉压迫止血器组（57例）,比较两组术者操作时间、术者操作难易程度评分、术者劳累程度评分、患者制动时间、患者舒适度评分和穿刺相关并发症等.结果 股动脉压迫止血器组术者操作时间、术者操作难易程度评分、术者劳累程度评分、患者制动时间和患者舒适度评分明显优于人工压迫止血组[（9.12±3.57）min比（28.97±2.85）min、（1.16±0.75）分比（1.59±0.73）分、（0.68±0.60）分比（2.72±0.46）分、（8.64±6.02）h比（26.10±11.42）h和（2.36±0.57）分比（3.76±0.58）分],差异有统计学意义（P〈0.01或〈0.05）;两组穿刺鞘管型号、合并用药情况和穿刺相关并发症比较差异无统计学意义（P〉0.05）.结论 股动脉压迫止血器相比于传统人工压迫止血方法,减少了操作时间,缩短了患者制动时间,患者舒适度提高,有更好的临床应用前景.Objective To evaluate the efficacy and safety between femoral artery compression hemostat and artificial compression after puncture of femoral artery. Methods The clinical data of 125 patients who had underwent puncture of femoral artery were retrospectively analyzed.The patients were divided into 2 group according to the hemostasis：artificial compression hemostasis（68 cases）and femoral artery compression hemostat group （57 cases）. The performer operation time, performer operation difficulty score, performer fatigue level score, patient postoperative braking time, patient comfort score and complications of puncture were compared between 2 groups.Results The performer operation time, performer operation difficulty scores, performer fatigue level scores, patient postoperative braking time and patient comfort scores in femoral artery compression hemostat group were significantly better than those in artificial compression hemostasis group：（9.12 ± 3.57）min vs.（28.97 ± 2.85）min,（1.16 ± 0.75） scores vs. （1.59 ± 0.73） scores, （0.68 ± 0.60） scores vs. （2.72 ± 0.46） scores, （8.64 ± 6.02） h vs. （26.10 ± 11.42）h and（2.36 ± 0.57）scores vs.（3.76 ± 0.58）scores,there were statistical differences（P〈0.01 or〈0.05）. There were no statistical difference in puncture sheath tube type, drug using and complications of puncture between two groups （P〉0.05）. Conclusions Compared with artificial compression after femoral artery puncture,femoral artery compression hemostat can reduce the operation time, shorten the patient braking time, and improve patient comfort, it has a better clinical application prospects.

关 键 词：股动脉 穿刺术 止血技术 回顾性研究 

分 类 号：R543.5[医药卫生—心血管疾病]