YM-GU-动脉压迫止血器对减少冠状动脉介入术后血管并发症的效果观察

目的评价经股动脉冠状动脉诊疗术后股动脉穿刺部位应用YM-GU-动脉压迫止血器止血的效果和安全性。方法将228例经股动脉冠状动脉介入术后患者随机分成两组,107例采用YM-GU-动脉压迫止血器止血(止血器组),121例采用手工压迫止血(手工组)。比较两组止血成功率、止血时间、下肢制动时间、血管并发症发生情况。结果两组止血成功率无差异(P>0.05),止血器组止血时间、制动时间较手工组短,血管并发症发生率和卧床不适发生率明显降低,无假性动脉瘤、动静脉瘘发生(均P<0.01)。结论经股动脉冠状动脉介入术后应用YM-GU-动脉压迫止血器止血的效果好,并发症少,患者舒适度高,值得临床推广使用。

Objective To evaluate efficacy and safety of placing the femoral arterial YM-GU-oppression-hemostat at the access site after coronary angiography （CAG） and percutaneous coronary intervention （PCI）. Methods A total of 228 patients treated by CAG and PCI were randomly divided into two groups. Patients in Group A（n=107 ） received YM-GU-oppression-hemostat to stop bleeding and patients in Group B（n=121） received manual compression. The effective hemostatic rate, hemostatic time, restrict-movement time and the rate of vascular complications were compared. Results No difference was found in the effective hemostatic rate between two groups. Patients treated with YM-GU-oppression-hemostat showed shorter hemostatic and restrict-movement time than the manually treated patients, and the rate of vascular complications and uncomfortableness were also lower in Group A. No patients with pesudoaneurysm and arteriovenous fistula were found. Conclusions Application of YM-GU-oppression-hemostat at the access site of femoral arteria after CAG and PCI improves the hemostastic effects, reduces perivascular complications and increases patients＇ satisfaction. It is worthwhile for widely clinical utilization.