冷液预充止血器在冠状动脉造影术桡动脉穿刺中的应用效果

Application effect of cold liquid prefilled hemostatic device in radial artery puncture of coronary angiography

目的探讨低温联合压迫双重止血方法在冠状动脉造影术桡动脉穿刺中的应用效果。方法选取2020年8月至2021年1月在南方医院心内科住院的308例经桡动脉穿刺行冠状动脉造影术患者作为研究对象,按随机数字表法分为试验1组(103例)、试验2组(103例)和对照组(102例)。试验1组采用冷盐水预充止血器,试验2组采用冷乙醇预充止血器,对照组采用常规止血器压迫方法。比较三组患者的穿刺处出血或血肿发生率、术侧手掌肿胀程度、疼痛程度、压迫时间及桡动脉闭塞率。结果试验1组的术侧手掌肿胀程度、疼痛程度低于试验2组,差异有统计学意义(P<0.05);两组的穿刺处出血或血肿发生率、压迫时间和桡动脉闭塞率比较,差异无统计学意义(P>0.05)。试验1组和试验2组的穿刺处出血或血肿发生率、术侧手掌肿胀程度、疼痛程度均低于对照组,差异有统计学意义(P=0.003、P<0.001、P<0.001);而试验1组和试验2组的压迫时间、桡动脉闭塞率与对照组比较,差异无统计学意义(P>0.05)。结论冷液预充止血器用于冠状动脉造影术桡动脉穿刺处止血可有效减少术后穿刺部位出血、肿胀,减轻疼痛,提供较长时间冷敷的低温介质效果更佳。

Objective To explore the application effect of low temperature combined with compression dual hemostasis in radial artery puncture of coronary angiography.Methods A total of 308 patients who underwent coronary angiography through radial artery puncture in the Department of Cardiology of Nanfang Hospital from August 2020 to January 2021 were selected as research objects,and they were divided into the test group 1(103 cases),the test group 2(103 cases)and the control group(102 cases)according to the random number table method.The test group 1 was pre charged with cold saline hemostasis,the test group 2 was pre charged with cold alcohol hemostasis,and the control group was compressed with conventional hemostasis.The incidence of bleeding or hematoma at the puncture site,the swelling of the palm on the surgical side,pain degree,compression time and the rate of radial artery occlusion were compared among the three groups.Results The degree of the swelling of the palm on the surgical side and pain degree of the test group 1 were lower than those of the test group 2,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of bleeding or hematoma at the puncture site,the compression time and the rate of radial artery occlusion between the two groups(P>0.05).The incidence of bleeding or hematoma at the puncture site,the degree of the swelling of the palm on the surgical side,and the degree of pain in the test group 1 and the test group 2 were lower than those of the control group,the differences were statistically significant(P=0.003,P<0.001,P<0.001,respectively),while there were no significant differences in compression time and radial artery occlusion rate among test group 1,test group 2 and the control group(P>0.05).Conclusion Cold liquid prefilling hemostasis device used for hemostasis at the puncture site of the radial artery during coronary angiography can effectively reduce bleeding and swelling at the puncture site after operation,reduce pain,and provide long-term cold compress with low-temperature medium for better effect.