改良国产YM-GU型动脉压迫止血器的临床应用

The clinical application of improved domestic YM-GU artery compression hemostatic device

目的评价改良国产YM-GU型动脉压迫止血器在经股动脉脑血管造影术后止血的安全性和有效性。方法回顾分析2009年5月—2012年3月接受经股动脉脑血管造影术196例患者,前94例为A组(对照组),采用YM-GU型动脉压迫止血器止血;后102例为B组(观察组),采用改良YM-GU型动脉压迫止血器止血,观察患者介入术后穿刺部位并发症、止血时间、制动时间及止血成功率。结果 A组出现穿刺部位并发症26例,B组4例,两组并发症发生率分别为27.7%(26/94)、3.9%(4/102),A组显著高于B组,差异有统计学意义(P<0.05);止血时间、制动时间及止血成功率A、B两组分别为(2.36±1.7)min、(8.3±1.9)h、96.8%和(2.21±1.8)min、(8.1±1.7)h、97.1%,差异均无统计学意义(P>0.05)。结论改良国产YM-GU型动脉压迫止血器可明显降低穿刺部位并发症,止血时间、制动时间及止血成功率两者相当,值得临床推广使用。

Objective To evaluate the efficacy and safety of improved domestic YM- GU artel-y compression hemostatic device in stopping bleeding at puncture site after cerebral angiography via femoral access. Methods During the period from May 2009 to March 2012 at authors＇ hospital, a total of 196 patients received percutaneous cerebral angiography via femoral access. The patients were divided into group A （control group, n = 94） and group B（stndy group, n = 102）. YM-GU artery compression hemostatic device was employed in patients of group A, while improved domestic YM-GU artery compression hemostatic device was used in patients of group B. The complications at puncturing site, the time of hemostasis, the time of immobilization and the success rate were recorded. The clinical data were retrospectively analyzed. Results Complications at puncture site occmTed in 26 cases of group A （27.7%） and 4 cases of group B （3.9%）, and the incidence in group A was significantly higher than that in group B （P 〈 0.05）. The time of hemostasis, the time of immobilization and the success rate were （2.36±1.7） minutes, （8.3±1.9） hours and 96.8% respectively in group A, and were （2.21±1.8） minutes, （8.1±1.7） hours and 97.1% respectively in group B. The differences in the above items between the two groups were not statistically significant. Conclusion The use of improved domestic YM- GU artery compression hemostatic device can markedly reduce the incidence of complications occurring at puncture site, and can shorten the hemostasis time as well as the immobilization time. This technique should be highly recommended in clinical practice.