不同穿刺点压迫技术在脑血管介入术中的应用效果及对患者预后改善的效果分析  

Application effect of different puncture point compression techniques in cerebrovascular intervention and improvement of patients'prognosis

作　　者：刘立 王永生 LIU Li;WANG Yongsheng(Interventional Department,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan 450000,China;Cardiology Department,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州大学附属郑州中心医院介入科,河南郑州450000 [2]郑州大学附属郑州中心医院心内科,河南郑州450000

出　　处：《中国医学工程》2023年第9期59-62,共4页China Medical Engineering

基　　金：河南省医学科技攻关项目(LHGJ2021002217)。

摘　　要：目的比较不同穿刺点压迫技术在脑血管介入术中的应用效果及对患者预后情况的改善效果。方法纳入2021年5月至2022年5月郑州大学附属郑州中心医院行脑血管介入术治疗的150例急性脑梗死患者为研究对象,采用抽签法对患者进行随机分组,其中50例患者术中实施人工压迫,列为A组,50例患者术中应用血管闭合装置实施压迫,列为B组,其余50例患者术中实施气囊加压,列为C组,比较三组患者的止血情况、术后恢复情况及手术安全性。结果在不同压迫技术下,C组患者的止血时间低于B组、A组,止血成功率[88.00%(44/50)]高于B组[70.00%(35/50)]、A组[60.00%(30/50)],术后视觉模拟疼痛(VAS)评分低于B组、A组,舒适度评分(GCQ)高于B组、A组,下肢制动时间及住院时间低于B组、A组,术后并发症发生率[4.00%(2/50)]低于B组[16.00%(8/50)]、A组[22.00%(11/50)](P<0.05)。结论与传统人工压迫相比,在脑梗患者的脑血管介入术中应用血管闭合装置止血或气囊压迫止血效果更佳,但气囊压迫技术下的止血成功率更高、止血时间更短,更有利于加快患者康复进程,对减轻术后疼痛、提升舒适度并降低并发症发生风险均有积极作用。【Objective】To compare the application effect of different puncture point compression techniques in cerebrovascular intervention and improve the prognosis of patients.【Methods】Taking 150 patients with acute cerebral infarction who were treated by cerebrovascular intervention in our hospital from May 2021 to May 2022 as the research objects,the patients were randomly divided into three group by drawing lots.Among them,50 patients treated by artificial compression during operation were classified into group A,50 patients treated by vascular closure devices during operation were classified into group B,and the rest 50 patients treated by balloon compression during operation were classified into group C.The hemostasis,postoperative recovery and surgical safety among the three groups were compared.【Results】Under different compression techniques,the hemostatic time of patients in group C was lower than that in group B and group A,the success rate of hemostasis in group C was 88.00%(44/50)higher than that in group B[70.00%(35/50)]and group A[60.00%(30/50)],the postoperative Visual Analogue Scale(VAS)score was lower than that in group B and group A,the General Comfort Questionnaire(GCQ)score in group C was higher than that in group B and group A,the lower limb braking time and hospitalization time in group C were lower than those in group B and group A,and the postoperative complication rate in group C was 4.00%(2/50)lower than that in group B[16.00%(8/50)]and group A[22.00%(11/50)](P<0.05).【Conclusion】Compared with the traditional artificial compression,the hemostasis effect of using the vascular closure device or air bag compression in the cerebrovascular intervention of patients with cerebral infarction is better,but the success rate of hemostasis under air bag compression technology is higher,the hemostasis time is shorter,which is more conducive to accelerating the rehabilitation process of patients,and has a positive role in reducing postoperative pain,improving comfort and reducing the risk of compl

关 键 词：脑血管介入术 急性脑梗死 人工压迫 血管闭合装置压迫 气囊加压 止血效果 

分 类 号：R743.33[医药卫生—神经病学与精神病学]