介入治疗后应用改良弹性绷带包扎股动脉止血效果观察

目的观察介入治疗后应用改良弹力绷带包扎股动脉的止血效果。方法将458例患者随机分为实验组和对照组,其中实验组240例,对照组218例,对照组采用两条弹性绷带交叉粘贴包扎股动脉,实验组采用改良弹力绷带包扎法,即在对照组基础上增加第三条弹性绷带包扎,第三条弹力绷带在两条绷带的交叉点上横跨粘贴包扎,比较两组患者的股动脉的止血效果及舒适度。结果实验组止血有效率为99.6%,对照组为93.6%,两组比较,P<0.005,差异有统计学意义;实验组患者在主观节制饮水、烦躁、排尿恐惧、腰酸背痛、纱块移位等不良反应较对照组明显减轻,均P<0.001,差异有统计学意义。结论改良弹力绷带包扎法对介入治疗后股动脉止血效果明显优于对照组,并能减少术后并发症,增加患者舒适度。

Objective To evaluate the hemostasis effectiveness of elasticity bandaging on puncture points in interventional therapy. Methods 458 patients were randomly divided into two groups. Two elastic crossed bandaging was used in the control group. A new pressurized bandaging with three elastic bandages on the basement of the method of control group was used in the observation group. The hemostasis effectiveness of on puncture points in interventional therapy and the comforts of patients were compared. Results The effective rate was 99. 6% in the observation group and 93.6% in the control group. Apprehensions and insomnias of patients in the control group were more than those in the observation group. The side effects of patients in the observation group, such as refusing drinking, agitation, fears of urination, muscle pain and gauzes movement were less than those in the control group （P 〈 0.01 ）. All indicated the reduction of the side effects and more comforts. Conclusion The hemostasis effectiveness of new elasticity bandaging in the observation group was better than that in the control group. Furthermore it could reduce the post-operative complications and bring the patients more comforts.