脑血管造影术后盐袋压迫法与动脉压迫止血器法效果的比较

Comparison of the effect of salt bag compression and arterial compressor haemostat after cerebral angiography

目的比较脑血管造影术后股动脉穿刺处盐袋压迫与动脉压迫止血器两种动脉压迫止血方法的效果。方法行脑血管造影术患者495例，采用盐袋压迫法243例（盐袋组），采用动脉压迫止血器法252例（止血器组），其中采用天津怡美医疗器械有限公司的YM—GU-1229型动脉压迫止血器（止血器1组）131例，采用杭州能可爱心医疗科技有限公司的NZ-1型动脉压迫止血器（止血器2组）121例，观察术后3d内局部并发症发生情况。结果盐袋组患者中有9例（3．70％，9／243）发生并发症；止血器组患者中有25例（9．92％，25／252）发生并发症，两组比较差异有统计学意义（P〈0．01）；止血器1组有16例（12．21％，16／131）发生并发症，止血器2组有9例（7．44％，9／121）发生并发症，两组比较差异无统计学意义（P〉0．05）。结论动脉压迫止血器法的并发症发生率高于盐袋压i自法。

Objective To compare the effect of salt bag compression and arterial compressor haemostat for patients after cerebral angiography. Methods Four hundred and ninety-five patients undergoing cerebral angiography were divided into two groups according to the methods of arterial compression：salt bag compression group （243 cases） and arterial compressor haemostat group （252 cases） in which 131 patients used the YM-GU-1229 arterial compressor haemostat and 121 patients used the NZ-1 arterial compressor haemostat. The associated complications within 3 days were recorded. Results The incidence of complications in salt bag compression group was 3.70% （9/243）,in arterial compressor haemostat group was 9.92% （25/252）,and there was significant difference between the two groups （P 〈 0.01 ）. The incidence of complications in YM-GU-1229 arterial compressor haemostat was 12.21% （ 16/131 ）, in NZ-I arterial compressor haemostat was 7.44% （9/121）, and there was no significant difference between the two arterial compressor haemostats （P 〉 0.05 ）. Conclusion The incidence of complications of arterial compressor haemostat is higher than that of salt bag compression.