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目的探讨经股动脉介入诊疗术后应用国产动脉压迫止血器的安全性、有效性及临床应用价值。方法102例经股动脉介入治疗术后,59例应用动脉压迫止血器体外压迫穿刺点止血,43例人工传统压迫止血。记录止血时间、下肢制动时间及并发症。结果动脉压迫止血器组止血时间[(3.0±1.5)min比(20.0±2.5)min,P<0.001]和下肢制动时间[(8.0±1.2)h比(17.0±4.2)h,P<0.001]明显短于人工压迫组;局部并发症和迷走神经反射两组无差异。结论经皮股动脉介入诊疗术后应用动脉压迫止血器止血安全、有效,缩短卧床时间,且不增加血管并发症,值得推广应用。
Objective To investigate the safety, efficacy and clinical value of transcatheter arterial occlusive hemostasis after femoral artery interventional surgery. Methods Totally 102 cases were treated by femoral artery intervention. Fifty-nine patients underwent arterial compression hemostat to stop bleeding in vitro and 43 cases underwent traditional artificial hemostasis. Record bleeding time, lower limb brake time and complications. Results The hemostatic time of arterial hemostasis group was significantly lower than that of control group [(3.0 ± 1.5) min vs (20.0 ± 2.5) min, P <0.001] and lower limb immobility time [(8.0 ± 1.2) h vs ] Was significantly shorter than the artificial compression group; local complications and vagal reflex no difference between the two groups. Conclusion Percutaneous femoral artery interventional diagnosis and treatment of arterial hemostasis after application of hemostasis safe, effective and shorten the bed time, and does not increase vascular complications, it is worth promoting the application.