股动脉穿刺插管术后局部压迫止血的处理

目的 探讨股动脉穿刺插管术后局部压迫止血的处理方法.方法 采用自制压迫止血带,对2164例患者共3046例次股动脉穿刺插管术后实施压迫止血.根据压迫制动时间不同分为A、B两组,A组1482例次,压迫制动时间为8～10h;B组1564例次,压迫制动时间为5～6h.分别对两组止血效果、患者对压迫制动不适感及压迫制动并发症进行观察比较.结果 A组止血效果良好1470例次,良好率为99.2%,B组止血效果良好1549例次,良好率为99.0%(P>0.05);明显不适感发生率A组为63.8%,高于B组的42.9%(P<0.05).A组发生2例压迫制动的严重并发症,B组未发生.结论 股动脉穿刺插管术后采用自制压迫止血带压迫制动5～6 h即可达到较好的止血效果,并可降低压迫制动不适感的发生率.

Effectiveness of compressing hemostasis after femoral artery puncture and encheiresis

Objective To study the hemostnsis effects of compression cords oppressing after femoral artery puncture and encheiresis. Methods Self-made compression cords were used to stop bleeding of femoral artery puncture sites in 2164 patients underwent 3046 cases of arteriopuncture encheiresis. The total eases were divided into group A (1482 eases) and group B (1564 cases) according to different treatment of oppression and breaking duration which were 8-10 hours for group A and 5-6 hours for group B, the hemostasis effects, discomfortableness and related complications within two groups were evaluated. Results The proportion of patients who got good hemostasis effects were 99.2% in group A, 99.0% in group B. There was no difference in hemostasis effects between two groups (P> 0.05). While the rate of discomfortableness in group A (63.8%) was higher than that in group B(42.9%) (P<0.05). The related serious complications were 2 patients in group A, but no occurred in group B. Conclusion Self-made compression cords op- pressing and 5-6 hours breaking time course can achieve both finer hemostasis effect and lower frequency of complications after femoral artery puncture and encheiresis.