双胶带拉伸加压对ICU患者足背动脉止血效果的影响

Hemostatic effect of compressing on ICU patients foot dorsal artery with double taut tapes

目的：探讨双胶带拉伸加压对ICU患者足背动脉采血后止血效果的影响。方法将280例经足背动脉采血的患者按采血顺序，采用随机数字表法随机分为2组各140例，观察组采用双胶带拉伸加压的方法压迫止血，对照组采用传统手持棉签加压的方法压迫止血，观察2组患者压迫止血的效果。结果观察组出血的发生率为0.71％（1/140），明显低于对照组的5.71％（8/140），2组比较差异有统计学意义（χ2=4.133，P=0.042）；观察组淤血的发生率为1.43％（2/140），明显低于对照组的7.14％（10/140），2组比较差异有统计学意义（χ2=5.572，P=0.018）；观察组血肿的发生率为0，明显低于对照组的4.29％（6/140），2组比较差异有统计学意义（χ2=4.258，P=0.039）。结论双胶带拉伸加压用于ICU患者足背动脉的止血效果优于传统手持棉签加压。

Objective To study the hemostatic effect of compressing on ICU patient′s foot dorsal artery with double taut tapes after blood sampling. Methods 280 patients after blood collection from the dorsal artery of the foot were divided into observation group (n=140) and control group (n=140) by the random number table method. The observation group were stanched bleeding by compressing with double taut tapes, while the control group were compressed with the traditional hand- held cotton swab. The hemostatic effect was compared in both groups. Results The incidence of bleeding in the observation group was 0.71%(1/140), significantly lower than that of the control group,5.71%(8/140) (χ2=4.133, P=0.042). The incidence of blood and stasis in the observation group was 1.43% (2/140), significantly lower than 7.14% (10/140) of the control group, (χ2=5.572, P=0.018). The incidence of subcutaneous hematoma in the observation group was 0, significantly lower than that of the control group, 4.29% (6/140) (χ2=4.258, P=0.039).The differences were statistically significant. Conclusions The hemostatic effect of compressing on ICU patient′s foot dorsal artery with double taut tapes is better than that with the traditional hand-held cotton swab.