肝癌经股动脉穿刺行栓塞术两种不同敷料压迫止血的护理效果  

The nursing effect of compression hemostasis: comparison between two different dressings in patients with hepatocellular carcinoma after receiving interventional embolization through femoral artery puncture

作　　者：马艳玲[1] 岳同云[1] 张景兰[1] 高艳玲[1] 高春晖[1] MA Yanling;YUE Tongyun;ZHANG Jinglan;GAO Yanling;GAO Chunhui(Department of lnterventional Area,Affiliated Cancer Hospital of Harbin Medical University,Harbin,Hailongjiang Province 150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院介入病区,150081

出　　处：《介入放射学杂志》2018年第9期893-895,共3页Journal of Interventional Radiology

摘　　要：目的比较肝癌经股动脉穿刺行栓塞术两种不同压迫方法在术后护理的优势,为日后患者选择适合的压迫方法提供穿刺行理论依据。方法选择2016年1-6月,经股动脉穿刺行栓塞术患者80例。根据压迫方法分为观察组和对照组。观察组患者术后使用壳聚糖止血海绵覆盖穿刺点,对照组用纱布和弹力绷带加压包扎覆盖穿刺点,观察两组患者并发症发生率和护士护理患者所用时间情况。结果两组患者在是否出现"尿滁留"上差异有统计学意义(P<0.05),而在是否出现"出血或血肿"和"压疮"上差异无统计学意义(P>0.05)。两组患者在"护士护理患者所用时间"和"患者卧床时间"上比较差异有统计学意义(P<0.05)。结论壳聚糖止血海绵用于经股动脉栓塞术后止血,尿潴留发生率少,肢体制动时间短,护士劳动时间缩短,节省人力,值得推广。Objective To compare the postoperative nursing advantages of two different compression hemostasis methods in patients with hepatocellular carcinoma after receiving transcatheter arterial embolization through femoral artery puncture so as to provide the theory evidence for the selection of suitable compression hemostasis method. Methods A total of 80 patients with hepatocellular carcinoma（HCC）, who received transfemoral artery embolization during the period from January 2016 to June 2016, were enrolled in this study. According to the compression hemostasis method the patients were divided into observation group and control group. After the treatment, chitosan hemostatic sponge was used to cover the puncturing point for the patients of the observation group, while pressure dressing with gauze and elastic bandage was adopted to cover the puncturing point for the patients of the control group. The incidence of complications and the time spent by nurses in nursing patients in both groups were recorded. Results Statistically significant difference in the occurrence of uroschesis existed between the two groups（P〈0.05）, while the differences in the occurrence of hemorrhage, hematoma, and pressure sore between the two groups were not statistically significant（P〈0.05）. Statistically significant differences in the time spent by nurses in nursing patients and in the bed-rest time of patients existed between the two groups（P〈0.05）. Conclusions The use of chitosan hemostatic sponge to stop bleeding of the puncturing point after transfemoral artery embolization has several advantages such as lower occurrence of uroschesis, shorter time for immobilization of body and limbs, less working hours of nurses, less manual labour, etc. Therefore, this technique is worth popularizing in clinical practice.

关 键 词：壳聚糖 股动脉栓塞 护理 

分 类 号：R735.7[医药卫生—肿瘤]