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