经桡动脉介入术后使用螺旋式止血器首松时间的研究

Study on time of first screw loosening with spiral tourniquet after radial artery intervention

[目的]观察螺旋式止血器在经桡动脉径路行冠状动脉介入术后不同的首松时间对于局部压迫止血的应用效果。[方法]随机抽取心内科180例经桡动脉径路行冠状动脉介入治疗的冠心病病人,分为术后减压时间1hA组、2hB组、3hC组各60例,观察3组病人的止血情况和并发症发生情况。[结果]对三组数据进行秩和检验,三组数据有统计学意义(P=0.029,χ~2=7.050),按并发症发生的阴性-弱阳性-阳性的升序计算三组的Ridit值,分别为Ra=0.603、Rb=0.457、Rc=0.439,A组最好。[结论]经桡动脉径路冠状动脉介入术后螺旋止血器首松时间1h的止血效果最佳,发生并发症的概率最小。

Objective:To observe the effect of different compression time of screw tourniquet on local compression after transradial coronary intervention.Methods:A total of 180 patients with coronary heart disease were randomly divided into group A,B and C,according to First decompression time,the First decompression time in group A was 1h,2hin group B,3hin group C,60 cases in each group,they all were surgeried to relieve pressure after 6h.In the 3groups of patients,the hemostasis and complications were observed,and the incidence of the negative-weak positive-positive was evaluated.Results:SPSS 19.0was used for rank sum test in three groups of data,P=0.029,χ~2=7.050,three sets of data had statistical significance;according to the complication of the negative-weak positive-positive ascending calculation of three groups of Ridit value,respectively Ra=0.603,Rb=0.457,Rc=0.439,that in group A was the best.Conclusions:The hemostasis effect of 1H was the best,and the probability of complications was the smallest when the first release time of the screw was the first time in the radial artery.