应用TR Band止血气囊压迫经桡动脉穿刺点渗血方法的改进

Improvement of Radial Compression Guided by Standard Compression with Pneumatic Device (TR Band)

目的:探讨经桡动脉介入诊疗后气囊压迫的方法,以预防或减轻穿刺局部出血。方法:将320例经桡动脉行冠状动脉介入诊疗的术后患者按随机数字表法分为观察组(160例)和对照组(160例),对照组介入术后用将含气囊压迫垫内面贴在桡动脉上,先将穿刺鞘拔出鞘管长度的2/3,保留1/3在桡动脉内,气囊绿色标记点对准穿刺点,将黏附带扣紧,边向气囊内注气边回撤鞘管,最后拔除鞘管,观察穿刺口无渗血后停止注射空气;观察组介入术后以1块3cm×4cm×0.5cm无菌纱布覆盖穿刺点,然后将气囊绿色标记点对准穿刺点,将黏附带扣紧,边向气囊内注气边回撤鞘管,最后拔除鞘管,观察穿刺口无渗血后停止注射空气。结果:观察组桡动脉穿刺局部出血及感染发生率显著低于对照组(均P<0.05)。结论:经桡动脉途径进行冠状动脉介入诊疗后在穿刺点上覆盖1块纱布再加气囊压迫止血效果确实、止血简便。

Objective：To prevent or reduce the puncture point bleeding,we evaluate the method of radial compression guided by standard compression with a pneumatic device （TR Band）.Methods：360 patients under a coronary angiography by transradial access for PCI were divided into 2 groups randomly：common control group （using TR Band,n=160）,（using TR Band and gauze,n=160）.Results：An analysis of the results of 160 patients in experimental group showed significantly （P 0.05） lower incidence of bleeding and infection than common control group with 160 patients.Conclusion：Use of pneumatic compression guided by TR Band and gauze is safe and efficient,and it can significantly lower the incidence of radial artery bleeding and infection.