经皮股动脉穿刺介入术后24h内穿刺处出血危险因素分析  

Analysis of the Risk Factors of Bleeding at the Puncture Site within 24 h after Percutaneous Femoral Artery Puncture

作　　者：谢曼英 钟旭辉 陈晓珊 温丽娟 Xie Manying;Zhong Xuhui;Chen Xiaoshan;Wen Lijuan(Shenzhen People's Hospital(the Second Clinical Medical College of Jinan University,the First Affiliated Hospital of Southern Uni-versity of Science and Technology),Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院),广东深圳518000

出　　处：《中外医药研究》2023年第28期51-53,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:调查经皮股动脉穿刺术介入手术后24h内穿刺处出血的危险因素,制定干预对策。方法:选取2022年1—12月深圳市人民医院收治的经皮股动脉穿刺术的患者92例为研究对象,根据术后是否出血分为出血组(21例)和未出血组(71例),收集患者基础资料,进行单因素和多因素分析。结果:两组不同年龄、身体质量指数、穿刺次数、合并糖尿病、压迫时间>4 h、抗凝药物服用史的股动脉穿刺患者术后24 h出血情况比较,差异有统计学意义(P<0.05);Logistic多因素分析显示,年龄>70岁、身体质量指数≥28.0 kg/m^(2)、穿刺次数≥3次、合并糖尿病、压迫时间<4 h、有抗凝药物服用史是经皮股动脉穿刺患者术后24h穿刺点出血的影响因素(P<0.05)。结论:年龄>70岁、身体质量指数≥28.0kg/m^(2)、穿刺次数≥3次、合并糖尿病、压迫时间<4h、有抗凝药物服用史均为股动脉穿刺患者术后24h穿刺点出血的危险因素,护理人员应进行重点关注,采取有效干预措施减少出血等术后并发症发生。Objective:To investigate the risk factors of puncture bleeding within 24 h after percutaneous femoral artery puncture and formulate intervention strategies.Methods:A total of ninety-two patients undergoing percutaneous femoral artery puncture treated in Shenzhen People's Hospital from January to December 2022 were selected as the study objects,and were divided into bleeding group(21 cases)and non-bleeding group(71 cases)according to whether there was bleeding after surgery.The basic data of patients were collected and univariate and multivariate analysis were performed.Results:There were statistically signifi⁃cant differences in 24 h postoperative bleeding between the two groups of femoral artery puncture patients with different ages,body mass index,puncture times,diabetes mellitus,compression time>4 h,and anticoagulant drug taking history(P<0.05);Logistic multivariate analysis showed that age>70 years old,body mass index≥28.0 kg/m^(2),puncture times≥3 times,dia⁃betes mellitus,compression time<4h,and history of taking anticoagulant drugs were the influential factors for 24h postopera⁃tive puncture site bleeding in patients with percutaneous femoral artery puncture(P<0.05).Conclusion:Age>70 years old,body mass index≥28.0 kg/m^(2),number of puncture≥3 times,combined with diabetes mellitus,compression time<4 h,and his⁃tory of taking anticoagulant drugs are all risk factors for bleeding at the puncture point 24 h after femoral artery puncture.Nurs⁃ing staff should pay attention to them and take effective intervention measures to reduce bleeding and other postoperative com⁃plications.

关 键 词：股动脉穿刺 并发症 出血 危险因素 

分 类 号：R47[医药卫生—护理学]