动脉压迫与血管闭合在缺血性脑血管介入治疗中的止血效果比较  

Hemostatic effect of arterial compression and vascular closure in the intervention treatment of ischemic cerebrovascular disease

作　　者：郭强[1] 李国强[1] 张超[1] 蒋继虎 王传宝 Guo Qiang;Li Guoqiang;Zhang Chao;Jiang Jihu;Wang Chuanbao(Department of Neurosurgery,Hanzhong Central Hospital,Hanzhong 723000,China)

机构地区：[1]汉中市中心医院神经外科,汉中723000

出　　处：《中国实用医刊》2025年第1期27-29,共3页Chinese Journal of Practical Medicine

摘　　要：目的比较动脉压迫与血管闭合在缺血性脑血管介入治疗中的止血效果。方法回顾性抽取2019年1月至2023年12月于汉中市中心医院接受缺血性脑血管介入治疗的缺血性脑血管病患者70例,根据止血方法分为对照组(35例,予以动脉压迫止血)与观察组(35例,予以血管闭合止血)。比较两组穿刺部位血管参数(血管最小内径、收缩期血流峰速度)、止血效果、并发症发生情况。结果术前和术后,两组血管最小内径、收缩期血流峰速比较差异未见统计学意义(P>0.05)。观察组一次止血成功率(100%,35/35)高于对照组(88.57%,31/35),P<0.05;观察组止血时间短于对照组(P<0.05)。观察组并发症总发生率(2.86%,1/35)低于对照组(17.14%,6/35),P<0.05。结论动脉压迫、血管闭合两种止血方式在缺血性脑血管介入治疗中均有良好的干预效果,血管闭合一次止血成功率更高,止血时间较短,并发症较少。ObjectiveTo compare the hemostatic effect of arterial compression and vascular closure in the intervention treatment of ischemic cerebrovascular disease.MethodsSeventy patients with ischemic cerebrovascular disease who underwent ischemic cerebrovascular intervention in Hanzhong Central Hospital from January 2019 to December 2023 were retrospectively selected,and they were divided into the control group(35 cases,treated by arterial compression for hemostasis)and the observation group(35 cases,treated by vascular closure for hemostasis)according to the hemostasis method.The vascular parameters at the puncture site,such as the minimum internal diameter of the blood vessel and the peak systolic blood flow velocity,hemostasis effect,and the incidence of complications were compared between the two groups.ResultsThere was no significant difference in the minimum internal diameter of blood vessels and the peak systolic blood flow velocity between the two groups before and after surgery(P>0.05).The success rate of one-time hemostasis in the observation group(100%,35/35)was higher than that in the control group(88.57%,31/35),P<0.05;the hemostasis time in the observation group was shorter than that in the control group(P<0.05).The total complication rate in the observation group(2.86%,1/35)was lower than that in the control group(17.14%,6/35),P<0.05.ConclusionsThe two hemostasis methods,arterial compression and vascular closure,have good intervention effects in ischemic cerebrovascular intervention.And vascular closure has higher success rate of one-time hemostasis,shorter hemostasis time,and fewer complications.

关 键 词：动脉压迫 血管闭合 脑血管介入术 

分 类 号：R47[医药卫生—护理学]