摘要
目的探讨经股动脉介入治疗术后有效、安全的压迫止血方法。方法将86例经股动脉介入治疗术后患者随机分为传统组(50例)与改进组(36例)。传统组采用常规压迫止血法,改进组采用一次性股动(静)脉气囊压迫止血带进行压力递减压迫止血。观察两组术肢制动时间、血管并发症及不良反应。结果改进组术肢制动时间及血管并发症,腰酸、腹胀发生率显著低于传统组(P<0.01,P<0.05)。结论经股动脉介入治疗术后通过压力递减法进行压迫止血,既可达到有效压迫止血的目的,又能减少传统压迫止血所致的不良反应。
Objective To explore the effective and safe pressure of using femoral artery balloon tourniquet for hemostasis after femoral artery intervention. Methods Eighty-six patients undergoing femoral artery intervention were randomly divided into conventional treatment group (50 cases) and improvement group (36 cases), receiving routine hemostasis and gradual pressureecreased bemostasis with femoral artery balloon tourniquet respectively. The immobile time of the lesioned limbs, vessel complications and side effects were observed. Results The immobile time of the lesioned limbs was shorter, incidence of vessel complication, waist soreness and abdominal distension were significantly lower in improvement group than those in conventional treatment group (P〈0. 01, P〈0. 05). Conclusion Using femoral artery balloon tourniquet for hemostasis after femoral artery intervention could effectively stop the bleeding and avoid the shortcomings of conventional methods.
基金
南京医科大学第一附属医院护理科研课题1011NB0213)
关键词
股动脉穿刺
放射学
介入性
压力递减压迫止血法
femoral arterial puncture
radiology, interventional
gradual pressure-decreased hemostasis