介入手术中动脉鞘直径与血肿的相关性研究  

Study on the correlation between arterial sheath diameter and hematoma in interventional surgery

作　　者：许媛媛 杨彤 XU Yuan-yuan;YANG Tong(Operating Room,Gaotang County People's Hospital,Liaocheng Shandong Province 252800,China)

机构地区：[1]高唐县人民医院手术室,山东聊城252800

出　　处：《中国城乡企业卫生》2024年第9期9-12,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探究血管介入手术中动脉鞘直径与穿刺点血肿发生率的相关性,为制订临床穿刺方案、提升穿刺安全性提供参考。方法回顾性分析2017年1月—2019年12月在高唐县人民医院接受血管介入手术治疗的120例患者的临床资料,其中使用4F、5F、6F动脉鞘的例数分别为40例、41例、39例,分别纳入4F组、5F组、6F组,依据Seldiger技术经股动脉实施穿刺操作,4F组、5F组、6F组各自选用4F、5F、6F型号的动脉鞘,各组穿刺点按压时间均为10 min,且给予加压包扎处置。观察三组穿刺点血肿发生率及术后腹胀、腰酸背痛、血栓形成并发症发生率。结果4F组穿刺点血肿发生率为5.00%,低于5F组的26.83%及6F组的25.64%,差异有统计学意义(P<0.05);5F组与6F组穿刺点血肿发生率差异无统计学意义(P>0.05);三组穿刺点血肿发生率比较,差异有统计学意义(P<0.05)。4F组、5F组、6F组并发症发生率分别为7.50%、12.20%、10.26%,差异无统计学意义(P>0.05)。结论针对进行血管介入手术治疗的患者,选择4F型号动脉鞘能够减少穿刺点血肿的发生,可明显提升患者的安全性,值得临床推广应用。Objective To explore the correlation between the diameter of the arterial sheath and the incidence of hematoma at the puncture site during vascular intervention surgery,in order to provide reference for developing clinical puncture plans and improving puncture safety.Methods The clinical data of 120 patients who underwent vascular intervention surgery at Gaotang County People's Hospital from January 2017 to December 2019 were retrospectively analyzed.Among them,40 cases,41 cases and 39 cases who were treated with 4F,5F and 6F arterial sheaths,respectively,were included in the 4F group,5F group and 6F group,respectively.The puncture operation was performed through the femoral artery using Seldiger technique,the 4F group,5F group and 6F group each used 4F,5F and 6F type arterial sheaths,and the pressing time for puncture point was 10 minutes in each group,and pressure bandaging was performed.The incidence of hematoma at puncture site and the incidence of postoperative abdominal distension,lower back pain,and thrombosis complications in three group were observed.Results The incidence of hematoma at the puncture point in the 4F group was 5.00%,which was lower than the 26.83%in the 5F group and the 25.64%in the 6F group,and the differences were statistically significant(P<0.05);there was no statistically significant difference in the incidence of hematoma at the puncture site between the 5F group and the 6F group(P>0.05);the incidences of hematoma at puncture site among three groups were compared,and the difference was statistically significant(P<0.05).The incidences of complications in the 4F group,5F group and 6F group were 7.50%,12.20%and 10.26%,respectively,and the difference was not statistically significant(P>0.05).Conclusion For patients undergoing vascular intervention surgery,choosing the 4F type arterial sheath could hematoma and significantly improve the safety of patients,which was worthy of clinical promotion and application.

关 键 词：血管介入手术 动脉鞘直径 穿刺点血肿 相关性 

分 类 号：R4[医药卫生—临床医学]