改良血压计袖带压迫止血法在肝癌介入术后应用研究.docVIP

改良血压计袖带压迫止血法在肝癌介入术后应用研究 　　[摘要]目的 探讨改良血压计袖带压迫止血法在肝癌介入术后的应用效果。方法 选取2015年2月～2016年12月在我院行介入手术的200例肝癌患者作为研究对象，采用随机数字表法将其分为观察组和对照组，每组各100例。观察组患者采用改良血压计袖带压迫止血，对照组患者采用常规的人工按压和沙袋压迫法。比较两组患者的压迫止血时间、并发症发生情况和舒适度。结果 观察组患者的压迫止血?r间[（14.5±5.2）min]短于对照组[（24.3±7.8）min]，差异有统计学意义（P0.05）。观察组患者出血、血肿、血栓等并发症的发生率（7%）低于对照组（31%），差异有统计学意义（P0.05）。观察组患者腰背酸痛和排尿困难的发生率（19%，14%）均低于对照组（33%，39%），观察组术后第1 d睡眠时间长于对照组，差异均有统计学意义（P0.05）。结论 改良血压计袖带压迫止血法应用于肝癌介入术后的止血效果较好，并发症较少，还可提高患者的舒适度。 　　[关键词]压迫止血法；肝癌介入术；改良血压计袖带 　　[中图分类号] R815 [文献标识码] A [文章编号] 1674-4721（2017）10（b）-0161-03 　　[Abstract]Objective To investigate the application effect of modified cuff compression hemostasis sphygmomanometer after interventional therapy for hepatocellular carcinoma.Methods 200 patients with liver cancer treated by interventional surgery in our hospital from February 2015 to December 2016 were selected for the study，and randomly divided them into observation group and control group according to the random number table method，and 100 cases in each group.The observation group was treated with modified sphygmomanometer for hemostasis，the control group was treated with routine artificial compression and sandbag compression.The time of compression and hemostasis，the incidence of complications and comfort were compared between the two groups.Results The hemostasis time of the observation group [（14.5±5.2） min] was lower than that of the control group [（24.3±7.8） min]，the difference was statistically significant （P0.05）.The incidence of complications such as hemorrhage，hematoma and thrombosis in the observation group （7%） was lower than that in the control group （31%），and the difference was statistically significant （P0.05）.The incidence of back pain and dysuria in the observation group （19%，14%） were lower than those in the control group （33%，39%），and the sleeping time of the first day after surgery of the observation group was longer than that of the control group，and the difference were both statistically significant （P0.05）.Conc