贵州医科大学学报

2016, v.41;No.188(05) 577-580

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股动脉穿刺介入术后3种止血方法的比较
Comparison of Clinical Efficacy of Three Hemostasis Methods after Interventional Femoral Artery Puncture

吴信;王发辉;周博;吕文杰;杨丹;
WU Xin;WANG Fahui;ZHOU Bo;LV Wenjie;YANG Dan;Department of Surgery,the Affiliated Hospital of Guizhou Medical University;

摘要(Abstract):

目的:比较经皮冠状动脉介入(PCI)术后3种不同压迫止血方法的临床疗效。方法:选择行PCI的患者181例,根据术后压迫止血方式不同分为A组(人工压迫止血法,n=58)、B组(YM-GU-动脉压迫止血器,n=61)和C组(股动脉气囊压迫止血器,n=62),比较3组患者临床基础情况、术后止血时间、肢体制动时间、舒适度和并发症。结果:3组患者的临床基础情况比较,差异无统计学意义(P>0.05);3组患者止血操作时间及肢体制动时间两两比较,A组明显长于B组和C组,差异有统计学意义(P<0.01);术后并发症的发生率,A组和C组明显低于B组,差异有统计学意义(P<0.01);术后舒适度不满意的发生率,A组和B组明显高于C组,差异有统计学意义(P<0.01)。结论:股动脉气囊压迫止血疗效可靠,压力值易调控。
Objective: To compare clinical curative effect of three different methods of oppression hemostasis after percutaneous coronary intervention( PCI) operation. Methods: 181 patients in our hospital undergoing PCI operation were divided into group A( artificial oppression hemostasis,n = 58),group B( YM-GU hemostasis,n = 61),and group C( femoral artery balloon compression hemostasis,n = 62). The differences in clinical basic situation,postoperative hemostasis time,limb braking time,patient comfort and complications among these three groups were compared in statistic methods. Results: There were no statistically significant differences in clinical basic situation of patients between three groups( P > 0. 05). Compared with group B and C,in group A the hemostasis time and limb braking time were longer and differences were statistically significant( P < 0. 01). The incidence of postoperative complications in group A and group C were significantly lower than that in group B( P <0. 01). The incidence rate of dissatisfaction for postoperative comfort in group A and B was higher than that in group C( P < 0. 01). Conclusion: Femoral artery balloon compression hemostasis effect is reliable,the pressure value is easy to control,and worthy of clinical application.

关键词(KeyWords): 血管成形术,经腔,经皮冠状动脉;止血技术;YM-GU-动脉压迫止血器;气囊压迫止血器
angioplasty,transluminal,percutaneous coronary;hemostasis techniques;YM-GU artery compression hemostasis device;femoral artery balloon compression hemostasis device

Abstract:

Keywords:

基金项目(Foundation): 大学生创新创业训练项目(国家级,021203102)

作者(Author): 吴信;王发辉;周博;吕文杰;杨丹;
WU Xin;WANG Fahui;ZHOU Bo;LV Wenjie;YANG Dan;Department of Surgery,the Affiliated Hospital of Guizhou Medical University;

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DOI: 10.19367/j.cnki.1000-2707.2016.05.021

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