经股动脉穿刺行全脑血管造影术后患者穿刺点去除沙袋“十字”加压包扎止血的效果

Effects of Cross Pressure Bandaging without Sandbags on the Risk of Haemorrhagein Patients of Full Cerebral Digital Subtraction Angiography via Femoral Artery Puncture

目的探讨经股动脉行全脑血管造影术后患者穿刺点去除沙袋"十字"加压包扎止血的效果。方法便利抽样法选择2014年1月至2015年3月南京大学医学院附属鼓楼医院神经内科收治的经股动脉穿刺行全脑血管造影术患者153例为研究对象,按入院先后将其分为观察组(78例)和对照组(75例),两组患者术后均严格按照股动脉穿刺点护理要求"十字"加压包扎,对照组患者加用沙袋压迫,观察并比较两组患者术后穿刺点发生皮下血肿及出血的情况。结果观察组和对照组患者术后均无局部皮下血肿发生,两组各有1例患者出现穿刺点出血,差异无统计学意义(P>0.05)。结论经股动脉行全脑血管造影术后患者穿刺点去除沙袋"十字"加压包扎,止血效果较好,且有利于提高患者的舒适度。

Objective To discuss the effects of cross pressure bandaging without sandbags on the risk of haemorrhagein patients of full cerebral digital subtraction angiography via femoral artery puncture.Methods Totally 153 cases of full cerebral DSA via femoral artery puncture were selected and randomly divided into observation group（n=78） and control group（n=75）.Both two groups were strictly following the nursing rules by applied with cross pressure bandaging.The sandbags were used in the control group.The subcutaneous hematoma and incidence of bleeding was compared between two groups.Results No subcutaneous hematoma and 1 case of local bleeding in each groups（P〉0.05）.Conclusion Cross pressure bandaging without sandbags in patients of full cerebral DSA via femoral artery has great hemostatic effect,and it can increase the comfort level of patients.