股动脉穿刺后两种不同止血方式的对比研究.docVIP

股动脉穿刺术后不同止血方式的对比研究 左兆凯 徐玉鹏 许迎春 闫清华 刘芳 泰山医学院附属聊城市第二人民医院心内科，山东临清，252600 [摘要]: 目的 探讨股动脉压迫气囊及常规压迫在经股动脉介入术后的安全性、有效性及临床应用价值。方法 将218例经股动脉穿刺后行诊断及介入治疗术后患者随机分为气囊压迫组(112例)与常规压迫组(106例)，气囊压迫组采用股动脉压迫气囊压迫止血，常规压迫组采用常用的手法压迫止血，观察两组血管并发症、下肢制动时间及腹胀、腰痛等不良反应的发生率。结果 气囊压迫组血管并发症、下肢制动时间及腹胀、腰痛发生率显著低于常规压迫组(P0.05)。结论 经股动脉介入治疗术后，通过股动脉压迫气囊法进行压迫止血，可明显减少血管穿刺后的并发症，缩短下肢制动时间，值得临床推广应用。 [关键词]: 股动脉穿刺，股动脉压迫气囊, 压迫止血 Femoral Artery Air Sac compared with standard manual compression after cardiac catheterization ZUO zhaokai, Xu yupeng Yu renliang Yan qinghua Liu fang Department of Cardiology, the Affiliated Liaocheng No.2 Hospital of Tai Shan Medicinal College , Linqing Shandong 252600, China 【Abstract】Objective To explore the effective and safety of using femoral artery Air Sac compressor for hemostasis after femoral artery intervention. Methods Two hundred and eighteen patients undergoing femoral artery intervention were randomly divided into manual compression group (106 cases) and Air Sac compression group (112 cases), The complication of femoral artery intervention, the braking time of the lesion limbs and general side effects were observed. Results The incidence of complication and the general side effects in the Air Sac compression group was significant lower than that of in the manual compression group(P 0.05), the braking time after the puncture in the Air Sac compression group was significant shorter than that of in the manual compression group(P0.05). Conclusion After Femoral artery intervention, the method of hemostasis by femoral artery air sac compression is effective, which can decline the incidence of complication and shorten the time of braking. 【Keywords】Femoral artery intervention, Femoral artery air sac compressor, Compression hemostasis 随着医疗技术的不断发展，经股动脉或是桡动脉进行经冠状动脉造影检查或介入治疗越来越普及。由于经桡动脉诊治时桡动脉容易发生痉挛，或是头臂干血管迂曲使导管不易到位，仍有不少患者需要经股动脉穿途径完成诊治。血管穿刺后止血是经股动脉径路突出的问题，常用的手法压迫止血费时费力，压迫力度不易控制，出血、血肿、栓塞及腰酸背痛等并发症仍然常见，有时甚至危及患者的生命。血管闭合器(Vascular closure devices, VCD)缝合法止血迅速，但明显增加患者费用，临床难