冠状动脉介入术后止血方法比较及护理进展

冠状动脉介入治疗(PCI)术后的止血方法经历了从传统到现代,从徒手止血到生物医学止血方法的演变。通过对心血管患者心导管拔鞘管后采用人工压迫止血与经皮血管闭合器(ACD)止血方法的多项临床对比文献回顾,显示应用ACD的患者,止血时间与下床走动时间显著缩短,而外周血管并发症发生率与其他止血方法相比较无显著性差异,但血管闭合器价格昂贵。因此,决定使用哪种止血方法既要考虑其安全性和有效性,也要兼顾其费和效益比。对于不同的止血方法,给予有针对性的护理,使患者得到最佳效果,获得最大效益。

The Comparison of Hemostasis Method After Coronary Artery Intervention and Nursing Progress

From tradition to modern, Hemostasis following PCI evolved from compression to biomedicine. In this paper, multiple clinical comparison and observations of bare-hand compression, mechanical compression and ACD were discussed after cardiac catheterization following pulling out sheathing canal, and indicated a shorter duration of hemostasis and no significant difference in incidence rate of peripheral vessel complication when ACD is used to hemostasis. The expense of ACD, however, is much higher than traditional hemostasis. Hence, it is necessary to consider not only security and efficacy but also the ratio of cost/advantage. Conclusively, selecting an appropriate nursing according to hemostasis used is wanted to assure the patient the most interest.