“威派”止血贴在股动脉穿刺点止血中的应用

The application of “V+Pad” point plaster in hemostasis of femoral artery puncturing point after interventional therapy

目的探讨"威派"止血贴在股动脉穿刺点止血中的应用价值。方法 2010年5月至2012年5月收治行经股动脉穿刺介入诊疗患者320例,根据使用的穿刺鞘不同分为5 F(180例)和7 F(140例)两组,每组再随机分为观察组和对照组两亚组,对照组采用传统的徒手压迫法,观察组采用"威派"止血贴压迫止血。观察比较观察组和对照组患者的压迫时间、制动时间、卧床时间、皮下渗血、皮下血肿、腰背部酸痛、需导尿患者的发生率。结果在5 F鞘组中,对照组与观察组的压迫、制动、卧床时间及腰背部酸痛、需导尿患者的发生率分别为(8.1±2.2)min比(5.1±0.3)min、(8.3±0.5)h比(2.3±0.4)h、(20.3±2.6)h比(7.5±1.6)h、41.1%比10%,4.4%比0,两亚组间差异均有统计学意义(P<0.05);皮下渗血、皮下血肿发生率分别为2.2%比1.1%,1.1%比0,两亚组间差异均无统计学意义(P>0.05)。在7 F鞘组中,对照组与观察组的压迫、制动、卧床时间及皮下渗血、皮下血肿、腰背部酸痛、需导尿患者的发生率分别为(16.4±6.8)min比(9.1±3.7)min、(8.8±1.3)h比(4.7±0.7)h、(22.6±4.3)h比(9.1±1.7)h、30.0%比12.9%、8.6%比2.9%、47.1%比11.4%和5.7%比0,两亚组间差异均有统计学意义(P<0.05)。5 F和7 F两组患者均无严重并发症发生。结论 "威派"止血贴不但止血迅速、疗效确切,而且还能提高患者舒适度及对介入治疗的接受度,具有一定的临床应用价值。

Objective To investigate the clinical application of ＂V ＋ Pad＂ point plaster in hemostasis of femoral artery puncturing point after interventional therapy. Methods A total of 320 patients who underwent interventional treatment were divided into 5 F sheath group （n = 180） and 7 F sheath group （n = 140）. The patients of each group were randomly and equally subdivided into control subgroup and observation subgroup. Conventional hemostasis by compression was performed in the patients of control groups, while ＂V ＋ Pad＂ hemostasis point plaster was employed in the patients of observation groups. The compression time, immobilization time, time of staying in bed, subcutaneous hemorrhage, subcutaneous hematoma, lumbodorsal aching pain, the necessity incidence of urethral catheterization, etc. were documented, and the results were compared between the subgroups of 5 F and 7 F groups separately. Results In the 5 F sheath group, the compression time, immobilization time, time of staying in bed, the occurrence of lumbodorsal aching pain and the necessity incidence of urethral catheterization in control subgroup were （8.1 ± 2.2）min, （8.3 ± 0.5）h, （20.3 ± 2.6）h, 41.1% and 4.4%, respectively, while those in observation subgroup were （5.1 ± 0.3）min, （2.3 ± 0.4）h, （7.5 ± 1.6）h and 10% and 0%, respectively. Statistically significant differences in the above items existed between the two subgroups （P 〈 0.05）. The occurrences of subcutaneous hemorrhage and subcutaneous hematoma in control subgroup were 2.2% and 1.1%, respectively, while those in observation subgroup were 1.1% and 0%, respectively. The differences between the two subgroups were not significant （P 〉 0.05）.In the 7 F sheath group, the compression time, immobilization time, time of staying in bed, subcutaneous hemorrhage, subcutaneous hematoma, the occurrence of lumbodorsal aching pain and the necessity incidence of urethral catheterization in control subgroup were （16.4 ± 6.8）rain, （8.8 _± 1.3）h, （22.6 ± 4.3）h, 30.0%, 8.6%, 47.1% and 5.7%, respectively, while those in observation subgroup were （9.1 ± 3.7）min, （4.7 ± 0.7）h and （9.1 ± 1.7）h, 12.9%, 2.9%, 11.4% and 0%, respectively. The differences in the above items between the two subgroups were statistically significant（P 〈 0.05）. Conclusion The use of ＂V ＋ Pad＂ point plaster can quickly stop the bleeding with reliable effect. Moreover, it can improve the patient＇s comfortableness and acceptability as well.