期刊文献+

血管介入手术中动脉鞘直径及术后压迫时间对穿刺点血肿发生率的影响 被引量:5

Effects of intraoperative arterial sheath diameter and postoperative compression time on the incidence of hematoma in patients with femoral artery puncture
下载PDF
导出
摘要 目的探讨动脉鞘直径和术后压迫时间与血管介入手术后穿刺点血肿发生率的关系。方法选取160例行经股动脉穿刺介入术患者为研究对象,患者随机分为A、B、C、D组,各40例。A组采用5F型穿刺针穿刺,术后压迫2 h;B组采用5F型穿刺针穿刺,术后压迫6 h;C组采用6F型穿刺针穿刺,术后压迫2 h;D组采用6F型穿刺针穿刺,术后压迫6 h。结果 A组与B组患者术后穿刺点血肿发生率均低于C组及D组(P<0.05)。A组与B组之间,C组与D组之间穿刺点血肿发生率差异无统计学意义(P>0.05)。4组患者术后并发症发生情况差异无统计学意义(P>0.05)。结论降低术中动脉鞘直径可有效降低患者穿刺点血肿发生率,减少术后压迫时间并不会增加患者穿刺点血肿发生率。 Objective To investigate the relationship between arterial sheath diameter andcompression time and the incidence of postoperative hematoma in patients with femoral arterypuncture for endovascular intervention therapy.Methods Totally160cases of femoral arterypuncture intervention patients were randomly divided into A,B,C,D groups,with40cases ineach group.Patients in group A were treated with5F puncture needle and postoperative compressionfor2h,patients in the group B were treated with5F puncture needle and postoperative compressionfor6h,patients in the group C were treated with6F puncture needle and postoperativecompression for2h,and patients in the group D were treated with6F puncture needle and postoperativecompression for6h.Results The incidence of puncture site hematoma occurred in groupA and group B after surgery was significantly lower than that in group C and group D(P<0.05).There was no significant in incidence of hematoma between group A and group B,andbetween group C and group D(P>0.05).There was no significant difference in clinical data offour groups of patients with postoperative complications(P>0.05).Conclusion To reduce thedirect diameter of the arterial sheath may effectively reduce the incidence of hematoma puncturepoints,but after the compression of2h does not increase the incidence of hematoma puncturepoints.
作者 黄奇花 严家嫦 陈凤慈 高伶娇 吴群英 HUANG Qihua;YAN Jiachang;CHEN Fengci;GAO Lingjiao;WU Qunying(Department of Cardiovascular,The People’s Hospital of Jiangmen,Jiangmen,Guangdong,529000)
出处 《中西医结合护理(中英文)》 2017年第4期74-76,共3页 Journal of Clinical Nursing in Practice
关键词 动脉鞘直径 术后压迫时间 经股动脉穿刺 介人治疗 穿刺点血肿 arterial sheath diameter postoperative compression time femoral artery puncture interventional treatment hematoma of puncture site
  • 相关文献

参考文献6

二级参考文献33

  • 1戚跃勇,邹利光.经皮股动脉穿刺的常见并发症[J].重庆医学,2004,33(9):1408-1410. 被引量:19
  • 2郭伟,杨代华.下肢动脉硬化性闭塞的介入及外科手术治疗选择[J].解放军保健医学杂志,2007,9(1):11-13. 被引量:6
  • 3张大伟,王微,王娟,贾琳楠,田毅,高丽虹.介入术后皮下血肿的原因分析及护理干预[J].中国误诊学杂志,2007,7(17):4048-4049. 被引量:2
  • 4Arai T, Kobayashi A, Ohya A, et al. Assessment of treatment outcomes based on tumor marker trends in patients with recurrent hepatocellular carcinoma undergoing trans-catheter arterial ehemo- embolization[J]. Int J Clin Oncol,2014,19(5) .-871 879.
  • 5Nishida Y, Fujii H, Hagihara A, et al. Tumor lysis syndrome after transarterial embolization for hepatocellular carcinoma I-J]. Nihon Shokakibyo Gakkai Zasshi,2013,110(3)1441-448.
  • 6Elbarouni B, Elmanfud O, Yan KT, et al. Temporal trend of in- hospital major bleeding among patients with non ST-lelvation acute coronary syndromes[J]. Am Heart J,2010,160(60): 420-427.
  • 7Tzeng H M,Yin C Y.Heights of occupied patient beds: A possible risk factor to in-patient fall[J].J Clin Nurs, 2008,17(11) : 1503-1509.
  • 8Tzeng H M, Yin C Y. Height of hospital beds and inpa- tient falls: A threat to patient safety [J].J Nurs Adm, 2007,37(12) :537-538.
  • 9Capezuti E, Wagner L, Brush B L, et al. Bed and toilet height as potential environmental risk factors rJ].Clin Nuts Res, 2008,17 (1) .. 50-66.
  • 10Tzeng H M, Prakash A, Brehob M, et al.Keeping patient beds in a low position: An exploratory descriptive study to continuously monitor the height of patient beds in an adult acute surgical inpatient care setting[J]. Contemp Nurse, 2012,41 (2) : 184-189.

共引文献102

同被引文献70

引证文献5

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部