158例冠状动脉介入术后动脉压迫止血器的临床应用

The application of artery constricting hemostat in clinic on 158 cases of patients after percutaneous coronary intervention

目的探讨动脉压迫止血器在经皮股动脉行冠状动脉介入术后止血的安全性和有效性。方法252例经皮股动脉行冠状动脉介入治疗的患者,按照术后止血方法分成动脉压迫止血器组(n=158)和人工压迫止血器组(n=94),对比两组止血时间、制动时间、血管并发症及卧床不适发生情况。结果动脉压迫止血器组止血时间、下肢制动时间明显缩短,与人工压迫止血器组比较差异有统计学意义(P<0.01),并发症及卧床不适明显减少,与人工压迫止血器组比较差异有统计学意义(P<0.05)。结论经股动脉行冠状动脉介入术后应用动脉压迫止血器止血的效果好、患者舒适度高、并发症少并且患者可早期下地活动,值得临床推广应用。

Objective To study the effectiveness and safety of artery constricting hemostat in patients after percutaneous coronary intervention. Methods We enrolled 252 patients after percutaneous coronary intervention through the approach mentioned above. Artery constricting hemostat were used in 158 patients , manual and sand bag compression were used in 94 patients, and the duration of bleeding, the duration of immobilization , the occurrence of vascular complications, and the physical comfortableness were observed. Results In artery constricting hemostat group, the duration of bleeding and the duration of immobilization are shortened （P〈0.01） ,while the occurrence of vascular complications are decreased（P〈0.05）, and physical comfortableness are improved（P〈0.05）. Conclusion Artery constricting hemostat is effective and safe in the patients after percutaneous coronary intervention. We recommended that artery constricting hemostat he used in these patients.