肝癌患者介入术后应用动脉封堵止血贴的临床观察与护理

Femoral artery hemostasis sticking plaster employed after interventional therapy for hepatic cancers:its clinical observation and nursing care

目的观察和总结肝癌患者介入术后应用股动脉封堵止血贴的临床效果及护理方法。方法随机入选100例行股动脉介入穿刺行介入治疗的肝癌患者,其中50例应用股动脉封堵止血贴作为观察组(甲组),50例采用传统人工压迫加压包扎法作为对照组(乙组),观察两组的按压时间,止血后穿刺点的处理,患者卧床姿势、下床活动的时间,患者的舒适度,及出院前穿刺点并发症发生的情况。结果甲组止血时间明显短于乙组,卧床时间减少,两组局部压迫止血时间分别为(6.1±0.5)min和(14.8±3.0)min,卧床时间分别为(6.0±0.5)h和(24.0±2.0)h两组间差异均有统计学意义(P<0.01)。结论经股动脉介入治疗后应用动脉封堵止血贴止血迅速、出血少,医师止血操作和患者肢体制动时间明显缩短,术后不适症状发生率降低,值得临床推广。

Objective To evaluate the clinical effect of femoral artery hemostasis sticking plaster used after interventional therapy for liver cancers and to discuss its nursing care. Methods A total of 100 patients with hepatic cancers who were scheduled to receive interventional therapy were randomly selected for this study. Femoral artery hemostasis sticking plaster was used after interventional therapy in 50 patients （study group）, while traditional manual compression together with pressure bandage was employed in the remaining 50 patients （control group）. The compression time, the management of the puncture point after hemostasis, the patient＇s posture in bed, the immobilization time, the patient＇s comfort degree, the complication of puncture point at the time of discharge, etc. were documented. Results Both ＂the time for hemostasis and the immobilization time in study group were significantly shorter than those in control group. The compression hemostasis time of study group and control group was （6.1 ± 0.5） minutes and （14.8 ± 3.0） minutes, respectively, while the immobilization time was （6.0 ± 0.5） hours and （24.0 ± 2.0） hours, respectively. The differences in compression hemostasis time and in immobilization time between the two groups were statistically significant （P 〈 0.01）. Conclusion The femoral artery hemostasis sticking plaster used after interventional therapy for liver cancers has fast hemostatic effect. Besides, the immobilization time of the patient can be remarkably shortened and the occurrence of the postoperative discomfort is reduced. Therefore, it is of value to popularize hemostasis sticking plaster in clinical practice.