经股动脉介入术后国产动脉压迫止血器止血的应用.pdfVIP

第24卷第4期(第30页) 湖北民族学院学报·医学版 v01．24 No．4 P．30 2007芷 Journal of Hubei Institute for Nationalities·Medical Editi0n 2007 经股动脉介人术后国产动脉压迫止血器止血的应用 周 明，曹亚红，王崇全，王俊峰，党书毅，詹中群，何朝荣，吴瑞霞，彭贵海 郧阳医学院附属太和医院心血管内科(湖北 十堰442000) 【摘要】目的 探讨经股动脉介入诊疗术后应用国产动脉压迫止血器的安全性、有效性及临床应用价值。方法 102例经股动脉介入治疗术后，59例应用动脉压迫止血器体外压迫穿刺点止血，43例人工传统压迫止血。记录止 血时间、下肢制动时间及并发症。结果 动脉压迫止血器组止血时间[(3．0±1．5)min比(20．0±2．5)min。P 0．001]和下肢制动时间[(8．0±1．2)h比(17．0±4．2)h，P0．001]明显短于人工压迫组；局部并发症和迷走神经 反射两组元差异。结论 经皮股动脉介人诊疗术后应用动脉压迫止血器止血安全、有效，缩短卧床时间，且不增加 血管并发症，值得推广应用。 【关键词】动脉压迫器；止血；人工压迫；股动脉；血管性介入 【中图分类号】R815；R541．4 【文献标识码】A 【文章编号】1008—8164(2007)04—0030—03 The Utility of Domestic Artery Compressor after Percutaneous Intervention via Femoral Artery ZHOU Ming，CAO Ya—hong，WANG Chong—quan，et a1． (The Cardiology Department of Taihe Hosipital，Yunyang Medical College，Shiyan 442000，China) 【Abstract】Objective To evaluate the efficiency and safety of domestic artery compressor for percutaneous intervention by femoral approaches．Methods 102 patients were received artery compressor group( =59)and manual compression group( =43)after percutaneous inter- vention via femoral artery．The hemostatic time，inferior extremities braking time and the inci— dence of complications were assessed．Results The hemostatic time and inferior extremities braking time of artery compressor group were significantly shorter than that of manual com— pression group．No significant differences were observed between the two groups either in Io- cal complications or vagal reflex．Conclusion After percutaneous intervention via femoral artery， the utility of domestic artery compressor was a safe and effective alternative to manual com— pression for hemostasis with low incidence of local complications． 【Key