环形弹性加压带在肝癌介入治疗术后的应用及效果

Application of self-made annular elastic compression belt in patients with hepatocellular carcinoma after interventional therapy and its clinical effect

目的观察自制环形弹性加压带在肝癌介入术后的应用及效果。方法符合入选标准的100例肝癌行介入治疗患者分为对照组和实验组,每组50例,对照组采用传统的盐袋捆绑的方法压迫穿刺点,实验组采用自制环形弹性加压带（专利号：ZL 2014 2 0680702.4）压迫穿刺点,比较两组穿刺点出血性并发症的发生率及患者的舒适度。资料采用SPSS18.0软件包进行统计学处理,采用Wilcoxon秩和检验、t检验和χ^2检验。结果实验组50例,出血性并发症发生2例（4%）,对照组50例,穿刺点出血性并发症发生10例（20%）,两组相比,差异有统计学意义（χ^2=6.061,P〈0.05）。两组舒适度比较显示实验组有优势（Z值=-5.65,P〈0.05）。结论自制环形弹性加压带可以减少出血并发症的发生率,提高患者的舒适度,值得在血管性介入术后推广及应用。

Objective To investigate the application of self-made annular elastic compression belt in patients with hepatocellular carcinoma after interventional therapy and to evaluate its clinical effect.Methods A total of 100 patients who met the inclusion criteria were divided into control group（n=50） and study group（n =50）. For patients in the control group traditional salt bag binding method was employed to oppress the puncture point, while for patients in the study group self-made annular elastic compression belt（patent number： ZL 2014 2 0680702.4） was used to oppress the puncture point. The incidence of bleeding complications and patient comfort degree of the two groups were compared. Using SPSS18.0 software package,Wilcoxon rank-sum test, t test and χ~2test the data were statistically processed. Results The bleeding complication occurred in 2 patients of the study group（4%） and 10 patients of the control group（20%）; the difference between the two groups was statistically significant（χ~2=6.061,P〈0.05）. The comfort degree of the study group was better than that of the control group（Z =-5.65,P〈0.05）. Conclusion The using of self-made annular elastic compression belt can reduce the incidence of bleeding complication and improve the comfort degree of patients. It is worthy of promotion in clinical practice after vascular interventional procedures.