经股动脉脑血管介入术后动脉压迫止血器的临床应用

Clinical utility of domestic artery compressor after percutaneous intervention of cerebrovascular via femoral artery

目的:探讨动脉压迫止血器在经股动脉脑血管介入术后的安全性、有效性及临床应用价值。方法:408例经股动脉脑血管介入术后的患者,将手工压迫止血172例作为对照组,用股动脉压迫止血器压迫止血236例作为观察组。比较两组止血成功率、止血时间、下肢制动时间、主要并发症发生情况。结果:两组止血成功率差异无显著性(P>0.05),观察组止血时问、下肢制动时间、血管并发症发生率均明显低于对照组(P<0.05)。结论:经动脉压迫止血器压迫止血可明显减少止血时间,缩短患者卧床时间,且降低了血管并发症,值得临床推广应用。

Objective ：To explore the efficacy and safety of domestic artery compressor for pereutaneous intervention of eerebrovascular by femoral approaches. Methods：A total of 408 patients after percutaneous intervention of cerebrovascular by femoral approaches were randomly divided into two groups：artery compressor group （test group ,n=236）and manual compression group （control group ,n=172）. The efficacy endpoint （immediate successful hemostasis rate,time to hemostasis and ambulation）and major complications were evaluated. Results ：The successful rates of hemostasis were similar between test group and control group（P〉0.05）.Time to hemostasis and time to ambulation in test group was significantly shorter than those of control group （P〈0.05）, the rate of major complications was also lower in test group. Conclusion：Application of domestic artery compressor after percutaneous intervention of cerebrovascular by femoral approaches improves the hemostastic effects and reduces perivascular complications.It is worthwhile for widely clinical utilization.