经桡动脉途径行冠状动脉介入治疗术后止血方法选择.docVIP

精品论文 参考文献 经桡动脉途径行冠状动脉介入治疗术后止血方法选择 李华 黄亚红 倪雨花 （上海市交通大学医学院附属新华医院lt;崇明gt;心内科 202150） 　　【摘要】目的 探讨经桡动脉途径冠状动脉介入术后穿刺口的最佳包扎止血方法。方法　将80例经桡动脉冠状动脉介入术患者按手术时间顺序分为治疗组(38例)和对照组(42例)，治疗组按照包扎止血方法：用桡动脉止血带注气15ml、定时减压、低压力水平维持8-12h包扎；对照组按传统方法包扎止血。观察两种包扎止血方法术后手部肿胀、麻木、发绀，穿刺点渗血、血肿，桡动脉闭塞，血管迷走反射等并发症发生情况。结果　治疗组手部肿胀、麻木、发绀和血管迷走反射发生率明显低于对照组，差异有统计学意义(Plt;O.Ol或Plt;O.05)，而两组局部渗血、血肿和桡动脉闭塞等并发症发生率比较，差异无统计学意义(Pgt;O.05)。结论 以确定桡动脉穿刺口的包扎方法，能减少患者血管并发症的发生率； 　　【关键词】冠状动脉介入术 桡动脉穿刺 包扎止血 　　【中图分类号】R619 【文献标识码】A 【文章编号】2095-1752（2013）31-0048-02 　　Bandaging and Hemostasis for Puncture 　　Point after Coronary Intervention by RadiaI Artery Path 　　【Abstract】Objective To explore the best method of bandaging and hemostasis for puncture point after coronary intervention by radial artery path.Methods 80 such patients were divided into treat group(n=38)and control group(n=42)according to the operation time.For the treat group，the method of bandaging and hemostasis Was based on the principle：1 5 ml of gas Was injected with radial artery tourniquet and then timed decompression Was adopted.The puncture point kept bandaged with low pressure for 8-1 2 hours.For the control group，the conventional method of bandaging was adopted.Then a comparison Was made of the incidence of hand swelling，numbness，cyanosis，oozing of blood in the puncture point，hematoma，obstruction in radial artery，vasovagal reflex between the two groups.Results :The rate of hand swelling，numbness，cyanosis and vasovagal reflex in the treat group Was significantly lower than that of the control group，the difference being statistically significant(Plt;0.0l or Plt;O.05).However，there Was no statistically significant difference in local oozing of blood，hematoma，and obstruction in radial artery(Pgt;0.05).Conclusion: the method of bandaging the puncture point in the radial artery call lower the incidence rate of vascular complications in patients. 　　【Key words】 coronary intervention radial artery puncture bandagin