桡动脉压迫止血器和弹力绷带包扎对经桡动脉穿刺入路介入手术患者的影响比较  

Comparison of Effects of Radial Artery Compression Hemostatic Device and Elastic Bandage Dressing on Patients Undergoing Interventional Surgery via Radial Artery Puncture Approach

作　　者：江玉婷 周冬 陈艳 姚富黎 丘苏奕 JIANG Yuting;ZHOU Dong;CHEN Yan;YAO Fuli;QIU Suyi(Hezhou Traditional Chinese Medicine Hospital,Hezhou 542800,China)

机构地区：[1]贺州市中医医院,广西贺州542800

出　　处：《中外医学研究》2025年第8期118-121,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较桡动脉压迫止血器和弹力绷带包扎对经桡动脉穿刺入路介入手术患者的影响。方法:选取2023年1月—2024年4月在贺州市中医医院行经桡动脉穿刺入路介入手术的80例患者作为研究对象,应用随机数表法分为观察组与对照组,各40例。对照组采用弹力绷带加压包扎止血,观察组采用桡动脉压迫止血器止血。比较两组止血成功率、术后6 h疼痛程度、并发症、止血后舒适度及再出血率。结果:观察组止血成功率为95.00%(38/40),显著高于对照组的80.00%(32/40),差异有统计学意义(P<0.05);观察组术后6 h疼痛程度低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为10.00%(4/40),显著低于对照组的30.00%(12/40),差异有统计学意义(P<0.05);观察组止血后舒适度评分低于对照组,差异有统计学意义(P<0.05);观察组再出血率为7.50%(3/40),低于对照组的12.50%(5/40),但两组比较差异无统计学意义(P>0.05)。结论:相较于弹力绷带加压包扎止血,桡动脉压迫止血器止血成效更佳,可提高经桡动脉穿刺入路介入手患者止血成功率,减轻疼痛程度,提高舒适度,降低并发症发生率,但再出血风险未显著降低。Objective:To compare the effects of radial artery compression hemostatic device and elastic bandage dressing on patients undergoing interventional surgery via radial artery puncture approach.Method:Eighty patients who underwent interventional surgery via radial artery puncture in Hezhou Traditional Chinese Medicine Hospital from January 2023 to April 2024 were selected as the study objects,and they were randomly divided into the control group and the observation using the random number table,with 40 patients in each group.The control group was treated with elastic bandage compression bandage to stop bleeding,and the observation group was treated with radial artery compression hemostatic device to stop bleeding.The success rate of hemostasis,pain degree at 6 h after operation,complications,comfort after hemostasis and rebleeding rate were compared between two groups.Result:The success rate of hemostasis in the observation group was 95.00%(38/40),which was significantly higher than 80.00%(32/40)in the control group,and the difference was statistically significant(P<0.05);the degree of pain at 6 h after operation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);the incidence of complications in the observation group was 10.00%(4/40),which was significantly lower than 30.00%(12/40)in the control group,and the difference was statistically significant(P<0.05);the comfort score of the observation group after hemostasis was lower than that of the control group,and the difference was statistically significant(P<0.05);the rebleeding rate of the observation group was 7.50%(3/40),which was lower than 12.50%(5/40)of the control group,but there was no significant difference between two groups(P>0.05).Conclusion:Compared with the elastic bandage compression bandage to stop bleeding,radial artery compression hemostatic device has better hemostatic effect,which can improve the success rate of hemostasis,reduce the degree of pain,improve comfort and reduce t

关 键 词：桡动脉穿刺入路介入手术 桡动脉压迫止血器 弹力绷带包扎 舒适度 并发症 

分 类 号：R472[医药卫生—护理学]