足趾血氧饱和度监测法在判断股动脉压迫止血时间点中的应用  

Application of Toe Blood Oxygen Saturation Monitoring in the Estimation of the Timing of Femoral Artery Compression Hemostasis

作　　者：何川[1] 陈玉琴[1] 邓进[1] 赵静 胡晓[1] HE Chuan;CHEN Yuqin;DENG Jin;ZHAO Jing;HU Xiao(Department of Interventional Radiology,The Affiliated Hospital of North Sichuan Medical College,Nanchong 637100,Sichuan Province,China)

机构地区：[1]川北医学院附属医院放射介入科,四川南充637100

出　　处：《解放军护理杂志》2021年第10期44-46,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的评价足趾血氧饱和度监测法在判断股动脉压迫止血时间点的有效性和安全性。方法采用便利抽样法选取2020年6月至2021年6月在某院行股动脉入路介入手术并采用动脉压迫器止血的70名患者为研究对象,按照择期手术顺序分为观察组(38例)和对照组(32例)。对照组采用传统扪及足背动脉法来判断压迫止血的时间点,观察组采用监测穿刺侧足趾血氧饱和度曲线变化的方法来判断压迫止血的时间点。对比两组患者股动脉压迫器螺旋手柄旋拧圈数、止血时间、制动时间、止血成功率和并发症。结果观察组和对照组在旋拧圈数(t=1.41,P=0.16)、止血时间(t=1.33,P=0.19)、制动时间(t=0.27,P=0.79)、止血成功率(χ^(2)=0.85,P=0.36)和并发症(χ^(2)=1.20,Р=0.27)上差异均无统计学意义。结论采用足趾血氧饱和度监测法判断股动脉压止血的时间点不仅安全有效,而且较传统方法更加客观,值得临床推广。Objective To evaluate the efficacy and safety of toe blood oxygen saturation monitoring in the estimation of the timing of femoral artery compression hemostasis.Methods From June 2020 to June 2021,70 patients who underwent femoral artery interventional surgery and used arterial compression to stop bleeding were selected by convenience sampling method.The patients were divided into study group(n=38) and control group(n=32) according to the order of operation.The study group used a traditional way which was palpated the dorsal artery of foot to estimate the timing of hemostasis while the control group used devices by monitoring the blood oxygen saturation of toes to estimate the timing of hemostasis.The frequency of screw handle of femoral artery compression devices, the timing of hemostasis, the time of immobilization, the success rate and complications at puncturing site were recorded.Results There were no significant differences between the two groups in the frequency of screw handle of femoral artery compression devices(t=1.41, P=0.16),the time of hemostasis(t=1.33, P=0.19), the time of immobilization(t=0.27, P=0.79),the success rate(χ^(2)=0.85, P=0.36) and complications at puncturing site(χ^(2)=1.20, P=0.27).Conclusions Compared with the traditional way, toe blood oxygen saturation monitoring is more effective, more objective and safer in estimating the timing of hemostasis, which is worthy of clinical promotion.

关 键 词：介入治疗 动脉压迫止血器 血氧饱和度 护理 

分 类 号：R472.9[医药卫生—护理学]