尿湿报警仪在冠心病介入术后出血的预防作用

The Use of the Urine-wet Alarm Device in Finding Bleeding after Percutaneous Coronary Intervene(PCI)in the Patients with Coronary Heart Disease

目的:探讨尿湿报警仪在冠心病介入术后主动发现出血的作用。方法:回顾性分析2009年采用尿湿报警仪经股动脉行介入手术患者出血的原因、出血例数、性别、出血量等相关资料,并以2008年未采用尿湿报警仪经股动脉行介入手术患者作对照。结果:2009年经股动脉行介入患者259例发生出血16例,平均出血量3～7ml,出血主动发现率16/16(100%);2008年行股动脉介入286例发生出血15例,平均出血量118～156ml,出血主动发现率为5/15(30%)。两组出血例数没有显著差异,出血量及出血发现方式存在明显差异。结论:尿湿报警仪能及时发现冠心病介入术后的出血,大大地减轻了患者的损伤。

Objective:To investigate the use of the urine-wet alarm device to find the bleeding patients with coronary heart disease after percutaneous coronary intervene(PCI).Method:We retrospectively analyzed the reason,sex,number,amount of bleeding and other related information of the patients who were operated through femoral artery using the Urine-wet Alarm Device in 2009,and compared with the patients without the Urine-wet Alarm Device after PCI in 2008.Results:There were 259 patients accepting PCI through femoral artery in 2009,and 16 patients were found bleeding.The average amount of bleeding was 3-7ml,and the precent of bleeding patients who were found by the urine-wet alarm device was 100%.There were 15 cases in the 286 patients who bled after the operation in 2008.However.the average amount of bleeding was 118-156ml and the precent of bleeding patients who were found was 30%.We found that there was no difference in the number of the patients between two years,but there were significant differences in the amount of bleeding and the method of finding bleed between two years Conclusion:The urine-wet alarm device could detect the bleeding patients after PCI timely,which greatly reduced the injury of the patients.