SYNC桡动脉止血器在经皮冠状动脉介入术后止血中的效果分析  

Analysis on the effect of the SYNC radial artery hemostatic device in hemostasis after percutaneous coronary intervention

作　　者：史震涛[1] 吴国辉[1] 伊媛媛 刘国帅 宋金凤 刘秀敏[1] 卢彦娜 唐强[1] SHI Zhentao;WU Guohui;YI Yuanyuan;LIU Guoshuai;SONG Jinfeng;LIU Xiumin;LU Yanna;TANG Qiang(Shougang Hospital of Peking University,Beijing 100144,China)

机构地区：[1]北京大学首钢医院心血管内科,北京市100144

出　　处：《护理实践与研究》2022年第12期1862-1865,共4页Nursing Practice and Research

摘　　要：目的探索SYNC桡动脉止血器在经皮冠状动脉介入诊疗术后止血的安全性及有效性。方法选取2021年3—5月在北京大学首钢医院心血管内科经桡动脉行冠状动脉造影和或介入治疗的患者267例,按照组间基本特征均衡可比的原则将患者分为观察组(n=155)和对照组(n=112)。观察组采用SYNC桡动脉止血器,首次减压开始时间是术后1 h,压迫止血时间为3 h;对照组采用TRBand桡动脉止血器,首次减压开始时间是术后2 h,压迫止血时间为6 h,观察并比较两组患者术后止血效果、局部穿刺处情况及患者舒适满意度。结果术后两组局部穿刺处渗血、血肿、皮肤破损水泡、二次包扎等方面比较差异无统计学意义(P>0.05),两组均未发生桡动脉闭塞。观察组发生轻度肢体远端肿胀患者6例(3.9%),少于对照组14例(12.5%),两组术侧肢体远端肿胀程度比较差异具有统计学意义(P<0.05)。观察组舒适满意度优于对照组,组间比较差异具有统计学意义(P<0.05)。结论经皮冠脉介入诊疗术后使用SYNC桡动脉止血器,压迫止血时间短,止血安全有效,可降低术后患者穿刺部位出血、血肿、肢体远端肿胀程度,明显提升患者舒适满意度,同时降低医护人员临床工作量。Objective To explore the safety and efficacy of SYNC radial artery hemostatic device in hemostasis after percutaneous coronary intervention was as the study subject.Methods A total of 267 patients who underwent coronary angiography and/or interventional therapy via radial artery in the department of cardiovascular medicine,Peking University Shougang Hospital from March to May 2021 were selected,and the patients were divided into an observation groups according to the principle of balance and comparability of basic characteristics between groups(n=155)and a control group(n=112).In the observation group,the SYNC radial artery hemostatic device was used,the initial decompression time was 1 hour after the operation,and the compression hemostasis time was 3 hours;in the control group,the TR Band radial artery hemostatic device was used,the initial decompression time was 2 hours after the operation,and the compression hemostasis time was 6 hours.The postoperative hemostatic effect,local puncture site and patients’comfort satisfaction were observed and compared between the two groups.Results There was no significant difference in the oozing blood,hematoma,skin damage blisters,secondary bandaging,etc.at the local puncture site between the two groups after operation(P>0.05),and no radial artery occlusion occurred in the two groups.There were 6 patients(3.9%)with mild distal limb swelling in the observation group,which was less than 14 patients(12.5%)in the control group.There was a statistically significant difference in the degree of distal limb swelling between the two groups(P<0.05).The comfort satisfaction of the observation group was better than that of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion By using the SYNC radial artery hemostatic device after percutaneous coronary intervention,we found that the time of compression and hemostasis was short,and the hemostasiswas safe and effective.It can reduce the degree of bleeding,hematoma,and distal limb swelli

关 键 词：桡动脉压迫止血器 经皮冠状动脉介入术 止血效果 首次减压 压迫止血时间 患者舒适满意度 

分 类 号：R473.5[医药卫生—护理学]