两种止血器在高龄患者经桡动脉介入术后的应用比较

Different effects of two hemostases in elderly patients after radial artery intervention

目的探讨两种止血器在高龄患者经桡动脉介入术后的应用情况。方法选取经桡动脉冠状动脉介入术的高龄患者80例,随机将患者分为观察组与对照组,每组各40例,术后分别采用气囊式和旋压式止血器压迫止血。观察两组患者止血效果、舒适度及并发症发生情况。结果两组患者止血效果比较,P>0.05,差异无统计学意义,观察组患者术后舒适度明显优于对照组,缺血、迷走反射发生率明显低于对照组,两组比较,均P<0.05,差异具有统计学意义。结论气囊式止血器更适用于经桡动脉介入术后高龄患者伤口压迫止血。

Objective To compare the hemostatic efficacies of radial artery balloon and spinning hemostat in elderly patients after radial artery intervention.Methods Eighty elderly patients undergoing transradial coronary intervention were randomly divided into balloon and spinning hemostat groups,with 40 cases in each group.After operation,balloons and spinning hemostats were used for hemostasis,respectively.The two groups were compared in terms of hemostatic effect,comfort degree and incidence of complications.Results These was no difference in hemostatic effect between the two groups（P〉0.05）.The balloon hemostat group was better than the spinning hemostat in respect of comfort degree.The incidences of ischemia and vagal reflex in the balloon hemostat group were significantly lower than the spinning hemostat group（P〈0.05）.Conclusion The balloon hemostat for radial artery intervention is more suitable for elderly patients undergoing oral treatment.