桡动脉压迫器与传统压迫止血法比较

Comparison of radial artery compressor and traditional compression hemostasis

目的:评估经桡动脉冠状动脉造影和介入治疗术后使用TR-Band桡动脉充气止血绑带的安全性与可靠性。方法:根据术后止血方式的不同,将582例经股动脉途径行冠状动脉造影(CAG)和介入治疗(PCI)术后的患者分为A组(220例)和B组(362例)。使用TR-Band桡动脉充气止血绑带止血为血管压迫器组(A组),使用手工弹力绷带加压缠紧的纱布卷为传统手工压迫止血组(B组),对两组的止血成功率、出血并发症、手部肿胀皮下出血、动静脉瘘和腕管综合征等进行比较。结果:两组比较,止血成功率、出血并发症的发生率差异无统计学意义,但手部肿胀皮下出血、动静脉瘘和腕管综合征差异有统计学意义。结论:R-Band桡动脉充气止血绑带在止血成功率及出血并发症上等同于传统手工压迫止血法,且有利于术后出血观察,可以作为桡动脉途径冠脉诊疗术后的常规止血法。

Objective:To evaluate the safety and reliability of the TR-Band radial artery pneumatic tourniquet bandage after radial artery coronary angiography and percutaneous coronary intervention.Methods:According to the different methods of postoperative hemostasis,582 patients with radial artery coronary angiography and percutaneous coronary intervention were divided into A group(220 cases)and B group(362 cases).The hemostasis method of A group was TR-Band radial artery pneumatic tourniquet bandage.B group used gauze roll with manual pressure bandage wrapped up tight.The success rate of hemostasis,bleeding complications,hand swelling subcutaneous bleeding,arteriovenous fistula and carpal tunnel syndrome of the two groups were compared.Results:The success rate of hemostasis,the incidence rate of bleeding complications of the two groups had no obvious difference.The hand swelling subcutaneous bleeding,arteriovenous fistula and carpal tunnel syndrome of the two groups had significant difference.Conclusion:The success rate of hemostasis and bleeding complications of R-Band radial artery pneumatic tourniquet bandage is equivalent to than of the traditional manual compression hemostasis.It is helpful to observe the postoperative bleeding,and it can be used as a conventional hemostasis method after radial artery pathway coronary diagnosis and treatment operation.