动脉压迫止血器应用于冠状动脉介入术后的临床观察

Clinical observation on the application of arteria constricting hemostat after the operation of coronary artery intervention

目的探讨动脉压迫止血器在冠状动脉介入术后的临床应用。方法选择住院经股动脉穿刺行心脏介入手术患者100例,按术后是否应用止血器分为2组,观察组50例应用动脉压迫止血器止血,对照组50例则采用传统人工按压沙袋加压的方法止血。比较2组止血操作及制动时间的差异,并观察2组患者舒适度等相关副作用的情况。结果观察组止血操作及制动时间明显少于对照组,有显著性差异（P〈0.01）;患者舒适度等相关副作用的发生率明显低于对照组（P〈0.05）。结论应用动脉压迫止血器,止血操作及制动时间明显缩短,既减轻了操作者的劳动强度,又缓解了患者的身心不适,是一种医师愿意采用,患者乐于接受的止血方法。

Objective To investigate the clinical application of arteria constricting hemostat after the operation of coronary artery intervention.Methods 100 inpatients,who underwent the heart intervention operation through femoral artery puncture,were divided into two groups according to whether applying the hemostat.50 cases in the observation group adopted the arteria constricting hemostat to stop bleeding,while 50 cases in the control group adopted the conventional manual compression and sand bag compression to stop bleeding.The differences in the operation of stopping bleeding and the times of restrain were compared between the two groups,and the situations of comfort and the relative adverse effects were observed.Results The operation of stopping bleeding and the times of restrain in the observation group were obviously lower than those in the control group,showing a significant difference（P〈0.01）.The incidence rates of comfort degree and the relevant adverse effects were obviously lower than those in the control group（P〈0.05）.Conclusions The operation of stopping bleeding and the times of restrain significantly reduce through applying the arteria constricting hemostat, thereby lightening the work load of operators and mitigating the body and mind discomfort.So it is a method that the doctors like to adopt and the patients are willing to receive.