经股动脉行介入诊疗术后股动脉止血贴的应用

目的观察经股动脉行介入诊疗术后股动脉穿刺点应用股动脉止血贴（V＋PAD）的临床效果。方法应用随机排列表随机入选80例行冠状动脉介入诊疗的患者,其中偶数应用止血贴共40例作为试验组,奇数应用徒手压迫不使用止血贴共40例作为对照组。所有患者均签订知情同意书。观察两组的按压时间、止血后穿刺点的处理、患者卧床姿势、下床活动时间、患者的舒适度、出院前穿刺点并发症情况。结果两组患者年龄、性别构成比、激活凝血时间和血压差异均无统计学意义（P〈0.05）,但试验组和对照组的压迫时间分别为（7.9±0.5）min和（19.8±5.1）min,卧床时间分别为（6.1±5.0）h和（23.9±0.2）h,两组间差异均有统计学意义（P值均〈0.01）。试验组所有患者在拔管后即刻均采用床头抬高30°卧位,1h后将床头抬高90°,常压包扎,不制动,所有患者舒适度明显提高。试验组有1例比较肥胖的女性发生假性动脉瘤,其余入选患者在住院期间均未出现穿刺处并发症。结论股动脉止血贴止血迅速,效果确切,患者舒适度明显提高,减轻了医护人员的工作量,可以在临床大规模推广应用。

Clinical use of femoral artery hemostasis sticking after interventional procedure via femoral artery access

Objective To observe the clinical effect of the use of femoral artery hemostasis sticking V+PAD after the interventional procedure via femoral artery access.Methods By using random permutation list 80 patients,who decided to receive coronary angiography and percutaneous transluminal coronary angioplasty,were randomly selected.Of the 80 patients,hemostasis sticking V + PAD was employed in 40 patients with even numbers(trial group),only manual compression was adopted to stop bleeding in another 40 patients wi...