TR Band和YM-RAO-1229压迫止血器在经桡动脉介入术后的止血效果比较

Comparison of TR Band and YM-RAO-1229 compressor after transradial intervention procedures

目的比较TRBand和YM—RAO-1229桡动脉压迫止血器在经桡动脉介入术后桡动脉止血中的安全性、有效性及优缺点。方法纳入经桡动脉行冠状动脉造影的患者240例，随机分成2组，其中120例采用TRBand压迫止血器，120例采用YM—RAO-1229桡动脉压迫止血器。观察两组术后止血效果，比较局部并发症情况。结果两种方法术后均能成功止血。两组在出血及桡动脉闭塞方面比较，未见统计学差异（3．3％比4．2％，P〉0．05；1．7％比1．7％，P〉0．05）；YM—RAO-1229压迫止血器组的肢体远端肿胀、皮肤破损发生率低于TRBand压迫止血器组（8-3％比18．3％，P〈0．0l；2．5％比6．7％，P〈0．05）。结论两种压迫器均安全和有效，但YM—RAO-1229压迫止血器因对周围组织压迫和皮肤损伤更小，患者感觉更为舒适。

Objective To compare the safety, validity and superiority between TR Band and YM-RAO- 1229 compressor after transradial intervention procedures. Methods 240 patients undergoing transradial coronary angiography were randomly divided into two groups. 120 patients were included in TR Band group, and 120 in YM-RAO-1229 group. The capacity of hemostasia and complications between the two groups were compared. Re- sults Two kinds of devices were able to hemostasis effectively. There was no significant difference on hemorrhage and radial occlusion between the two groups （3.3% vs 4.2%, P〉0.05, 1.7% vs 1.7%, P〉0.05）. There were sig- nificant differences in distal swelling and skin injuries between the two groups（8.3% vs tg.3%, P〈0.01, 2.5% vs 6.7%,P〈0.05）. Conclusion TR band and YM-RAO-1229 both devices are safe and effective as hemostatic compression devices following transradial procedures. However, more patients felt comfort with the YM-RAO-1229 device because of smaller area compression and less skin injuries.