健侧上肢无创动脉血压选择气囊压力值对经桡动脉造影术后穿刺点止血效果的影响  

Influence of selection balloon pressure value by invasive arterial blood pressure on hemostasis effect of puncture point after radial arteriography

作　　者：陆玉蓉 夏思良 余红 LU Yurong;XIA Siliang;YU Hong(Department of Cardiology,Nanjing Jiangbei Hospital Affiliated to Nantong University Xinglin College,Nanjing,Jiangsu 210048,China)

机构地区：[1]南通大学杏林学院附属南京江北医院心血管内科,江苏南京210048

出　　处：《中国临床研究》2023年第9期1438-1441,共4页Chinese Journal of Clinical Research

基　　金：南京市医学科技发展项目(YKK21214)。

摘　　要：目的经桡动脉造影术后,根据患者术后健侧上肢的无创血压,调节桡动脉止血器气囊压力值,达到既能止血又能减少穿刺侧手指肿胀的发生,提升患者的舒适度。方法收集2022年2月至11月南京江北医院行冠脉造影术后患者274例,随机分为对照组及观察组,每组137例。对照组采用桡动脉止血器说明书方法调节,观察组根据患者健侧上肢无创动脉血压值调节桡动脉止血器气囊的止血压力值。观察两组患肢手部肿胀、出血情况和患者疼痛评分。结果观察组穿刺侧手部肿胀、出血、疼痛程度均优于对照组(P<0.05)。结论经桡动脉造影术后,不同时间段根据患者健侧上肢无创动脉血压值,调节桡动脉止血器气囊的止血压力值,可减轻穿刺侧手部肿胀、出血和疼痛程度。Objective After transradial angiography,based on the non-invasive blood pressure of the patient s healthy upper limb after surgery,the adjustmenf of the pressure value of the radial artery hemostat airbag can achieve both hemostasis and reduce the occurrence of finger swelling on the puncture side,improve the patient s comfort.Methods A total of 274 postoperative patients received coronary angiography at Nanjing Jiangbei Hospital from February to November 2022 were selected and randomly divided into control group and observation group(n=137,each).The control group was adjusted by instructions of the radial artery hemostat,while the observation group adjusted the hemostatic pressure of the radial artery hemostat balloon based on the non-invasive arterial blood pressure value of the patient s healthy upper limb.The situation of hand swelling,bleeding,and patient pain scores in both groups of affected limbs were observed.Results The degree of swelling,bleeding,and pain in the affected limbs and hands of the observation group was better than those of the control group(P<0.05).Conclusion After transradial angiography,adjusting the hemostatic pressure value of the radial artery hemostatic balloon according to the non-invasive arterial blood pressure value of the patient s healthy upper limb at different time periods can reduce the degree of hand swelling,bleeding and pain in the affected limb.

关 键 词：经桡动脉造影术 健侧上肢无创血压 桡动脉止血器 气囊压力 肿胀 出血 疼痛 

分 类 号：R473.5[医药卫生—护理学]