新型蝶式股动脉压迫装置和人工压迫在外周动脉腔内治疗术后止血效果的对比  

A new butterfly femoral artery compression device vs manual compression for hemostasis of femoral artery puncture point after peripheral endovascular interventions

作　　者：卢维龙 王兵[1] 王颖[1] 许恒[1] 潘锦轩 王梦宇 郭鹏 王彦岭 尚文煊 LU Weilong;WANG Bing;WANG Ying;XU Heng;PAN Jinxuan;WANG Mertgyu;GUO Peng;WANG Yanting;SHANG Wenxuan(Department of Vascular Surgeryf Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan Province 450052,China)

机构地区：[1]郑州大学第五附属医院血管外科,450052

出　　处：《介入放射学杂志》2019年第3期288-292,共5页Journal of Interventional Radiology

基　　金：河南省高等学校重点科研项目(18B310032)

摘　　要：目的比较经股动脉穿刺行外周动脉腔内治疗术后新型蝶式股动脉压迫装置(femoral artery compression device,FACD)和人工压迫(manual compression,MC)止血的安全性和有效性。方法收集2016年9月至2017年12月经股动脉穿刺行外周动脉腔内治疗术的患者283例,术后采用新型FACD(FACD组)止血167例,MC止血(MC组)116例。分析患者的舒适度、止血时间、肢体制动时间以及血管并发症的发生情况。结果 283例患者全部纳入分析,结果显示FACD组止血成功率96.4%(161/167),MC组止血成功率94.0%(109/116),两组差异无统计学意义(P>0.05)。与MC组比较,FACD组术后Kolcaba舒适量表评分明显增高(85.0±11.2比58.4±11.7,P<0.05),止血时间、肢体制动时间显著缩短分别为[(9.2±2.2) min比(18.5±2.9) min,(P<0.05);(10.4±2.4) h比(23.1±4.1) h,(P<0.05)],血管并发症发生率明显减少(3.6%比9.5%,χ2=4.206,P=0.04)。结论新型蝶式FACD用于股动脉穿刺后止血迅速、安全、有效,止血时间、肢体制动时间、患者舒适度以及血管并发症发生率等均优于人工压迫,值得在临床上推广。Objective To compare the hemostatic safety and efficacy of a new butterfly femoral artery compression device(FACD)with those of manual compression(MC)in patients undergoing percutaneous peripheral endovascular interventions via femoral artery.Methods A total of 283 patients,who received percutaneous endovascular interventions via femoral artery during the period from September 2016 to December 2017,were enrolled in this study.After endovascular intervention,167 patients received FACD to make hemostasis(FACD group),and 116 patients received MC hemostasis(MC group).The patient’s comfortableness,time used for hemostasis(min),limb immobilization time(h),and the incidence of vascular complications in both groups were analyzed.Results All 283 patients were included in analysis,the results indicated that the hemostatic success rates in FACD group and MC group were 96.4%(161/167)and 94.0%(109/116)respectively,the difference between the two groups was not statistically significant(P>0.05).The postoperative Kolcaba Comfort Scale score of FACD group was(85.0±11.2)points,which was remarkably higher than(58.4±11.7)points of MC group(P<0.05),the time used for hemostasis in FACD group was(9.2±2.2)min,which was strikingly shorter than(18.5±2.9)min in MC group(P<0.05).The limb immobilization time in FACD group was(10.4±2.4)hours,which was obviously shorter than(23.1±4.1)hours in MC group(P<0.05).The incidence of vascular complications in FACD group was 3.6%,which was dramatically lower than 9.5%in MC group(χ^2=4.206,P=0.04).Conclusion The use of the new butterfly FACD can promptly,safely and effectively stop bleeding of femoral artery puncture site.The new butterfly FACD is superior to MC in shortening hemostatic time and limb immobilization time,in reducing incidence of vascular complications,as well as in improving patient’s comfortableness degree.

关 键 词：股动脉 止血 穿刺 并发症 

分 类 号：R472[医药卫生—护理学]