桡动脉止血装置压力及压迫时间对经桡动脉途径行冠状动脉介入术患者桡动脉的影响.pdfVIP

维普资讯 桡动脉止血装置压力及压迫时间对经桡动脉途径行冠状动脉 介入术患者桡动脉的影响 廖 梅 张 明 骆世棠 广东医学院第三附属医院心内科 广东茂名 525000 摘 要 目的 探讨经桡动脉冠状动脉介入术患者采用两种不同压力及压迫时间进行止血 的效果及血管 并发症的发生率。方法 38例经桡动脉途径行冠状动脉介入术的患者 ，分旧法组 (压迫时间长)l0例， 新法组 (压迫时间短 )28例。术后用桡动脉止血装置进行止血，分别在术前、术后行右上肢血管彩色多 普勒，了解用不同压力及压迫时间进行止血的效果及血管并发症发生率。结果 两组患者无出血、血肿、 夹层并发症。旧法组术后桡动脉 闭塞发生率为 50％，新法止血组术后血管闭塞发生率为 17．9％，差异有统 计学意义 (P0．05)。结论 应用桡动脉止血装置进行桡动脉压迫止血时间短的患者，术后血管闭塞 发生率比压迫止血 时长的患者低 ，值得 临床推广应用。 关键词 桡动脉止血装置 桡动脉 冠状动脉介入术 The infIuence of pressure and pressing time to the radiaIartery of patients who were used radiaI arterY hemostasis device after transradiaI percutaneous coronarY intervention LIAO Mei ZHANG Ming LUO Shi～tang Department of Cardiology，the Third Hospital of Ouangdong MedicalUniversity，Maoming 525000 Ouangdong China ’ Abstract ObJective To access effectand incidenceofvasCUlar complication of radial artcry hemostasis device with two different pressure and pressing time．Methods 38 eases patients who accepted transradial Percutaneous coronary intervention wete divided into two groups：longpressing timegroup(10 cases) and short pressing timegroup(28 cases)．Stop bleeding respectively using radial artery hemostasis device after operation．Patiellts’ radial artery were detect by color Doppler ultrosound before and post operation．To compare the hemostasis effect and incidence of vascular complication of different pressure and pressing time、Results There were no complication hemorrhage．1ocal hematoma and dissecting heratoma in both two groups．The incidence of radial artcry OCClusion post PC1was 50％ in long pressingtimegroupwhile I7．9％ in shortpressingtimegroup，with significantdifference(P 0．05)．Conclusion The incidenee of radial artcry OCClusion of radial artery hemostasis device in short pressing time patientswas less than that in long pressing time patients． Ke