止血器在经桡动脉冠脉介入诊疗中的应用

Radial artery homeostasis device in transradial coronary intervention

目的:比较桡动脉穿刺点绷带压迫和止血器压迫方法的效果。方法:随机将经桡动脉途径行冠脉介入诊疗的患者600例分成绷带组(n=200)和RDP700(800)止血器组(n=400),观察两组患者止血成功率、包扎止血的操作时间、压迫止血的总时间、术后2 d内出血发生率、并发症发生率和出院时间。结果:止血器组操作时间、压迫时间和术后住院时间均短于绷带组,局部并发症(2 d内出血、皮下淤血和桡动脉闭塞)明显少于绷带组,两组均无严重并发症。结论:经桡动脉冠脉介入诊疗后应用止血器止血效果安全、可靠,并发症发生率低。

AIM： To evaluate the safety and effect of radial artery homeostasis device “RDP700（800）” after transradial coronary artery intervention. METHODS： Six hundred patients treated with transradial coronary intervention were divided into two groups： RDP700（800） group （400 cases） and bandaging group （200 cases）. Homeostasis effect, homeostasis surgical time, homeostasis consumption time, bleeding accident in the first 2 h, complication rate and discharge time were compared between groups. RESULTS： No serious complications were found in either group but the homeostasis surgical time, oppression time and in-hospital days after operation in RDP700（800） group were shorter than those in bandaging group. CONCLUSION： The radial artery homeostasis device RDP700（800） is safe and effective.