探讨不同压迫止血方法对经股动脉PCI术后护理效果的影响  

Evaluation on the nursing effect of two different hemostasis methods after PCI via femoral artery puncture

作　　者：陈宏伟 高燕 付晓红 刘鸿涛 王芳 CHEN Hong-wei;GAO Yan;FU Xiao-hong;LIU Hong-tao;WANG Fan(Department of Interventional Diagnosis and Treatment, Shenzhen Longhua Central Hospital, Shenzhen 518109, China;Shenzhen Shekou People＇s Hospital, Shenzhen 518109, China)

机构地区：[1]广东省深圳市龙华区中心医院介入诊疗科,深圳518109 [2]广东省深圳市南山区蛇口人民医院,深圳518109

出　　处：《当代护士（上旬刊）》2018年第5期31-33,共3页Modern Nurse

摘　　要：目的探讨壳聚糖止血海绵与股动脉止血器对股动脉行穿刺经皮冠状动脉介入治疗术(PCI)拔管后止血效果的影响。方法选择2016年11月~2017年6月在本院介入诊疗科行经股动脉PCI患者60例。随机分为观察组(壳聚糖止血海绵组)及对照组(股动脉止血器组),每组各30例,观察和评价不同压迫止血方法对股动脉拔管止血效果、患者制动时间及围术期并发症的影响。结果观察组与对照组的止血效果均得到肯定,操作成功率100%,无严重血管并发症;但观察组明显缩短了止血时间、制动时间及护士劳动时间(P<0.05),且患者尿潴留发生率明显低于对照组(P<0.01)。结论壳聚糖止血海绵对PCI术后股动脉拔管止血作用确切,并发症少,节省人力,作为一种简便、高效、经济的新型股动脉置管拔管止血方法值得临床进一步推广。Objective To investigate the hemostatic effect of in vitro chitosan hemostatic sponge and femoral artery hemostat after percutaneous coronary intervention（ PCI） via femoral artery puncture. Methods From 2016 Nov to 2017 Jun,60 patients with PCI via the femoral artery were divided into 2 groups： chitosan hemostatic sponge group and femoral artery hemostat（ 30 in each group）. The hemostatic effects,complications,incidence rate of patient discomfort and nursing time were compared between two groups. Results The hemostatic effect of the chitosan hemostatic sponge and femoral artery hemostat after femoral artery puncture were both affirmative,and the procedural success rate was both 100%. No serious vascular complication were found. Compared with femoral artery hemostat,chitosan hemostatic sponge significantly shortened the time to achieve the hemostasis,ambulation as well as the nursing time after hemostasis（ P〈0.05）,also significantly decreased the incidence rate of urinary retention in patients with PCI（ P〈0.01）. Conclusion The hemostatic effect of the chitosan hemostatic sponge after PCI via femoral artery puncture is affirmative,and has no significant side effects and complications. As a new hemostasis method chitosan hemostatic sponge is worthy of further promotion for clinical practice.

关 键 词：经皮冠状动脉介入术 壳聚糖止血海绵 股动脉穿刺 血管并发症 

分 类 号：R473.5[医药卫生—护理学]