小密封瓶在冠状动脉造影术后假性动脉瘤治疗中的应用

目的：探讨小密封瓶在治疗冠状动脉造影术后假性动脉瘤中的临床应用价值。方法选择64例本院收治的冠状动脉造影术后假性动脉瘤患者，按照随机数字表法将其随机分为观察组和对照组，每组32例。对照组患者采用弹力绷带包扎局部，观察组患者在此基础上应用小密封瓶加压动脉穿刺处。采用汉密尔顿焦虑量表（ HAMA）评价两组患者的焦虑症状，比较两组治愈时间、住院时间及术后满意度情况。结果观察组患者治愈时间、住院时间、焦虑症状积分分别为（2．7±0．6） d，（4．8±1．6） d，（1．9±0．8）分，均低于对照组的（5．4±1．3）d，（7．2±2．1）d，（2．7±1．1）分，差异有统计学意义（t值分别为10．668，5．142，3．327；P＜0．01）；观察组患者满意度93．6％，对照组为65．6％，两组比较差异有统计学意义（χ2＝7．819，P＜0．01）。结论弹力绷带包扎局部联合小密封瓶加压动脉穿刺处能缩短冠状动脉造影术后假性动脉瘤患者的治愈时间及住院时间，促进术肢恢复，缓解焦虑症状，提高患者满意度，值得临床推广应用。

Application of a small sealed bottle in the pseudoaneurysm after coronary arteriography

Objective To explore the clinical application value of a small sealed bottle in the pseudoaneurysm after coronary arteriography .Methods Sixty-four with pseudoaneurysm after coronary arteriography selected in second people ’ s hospital of Wuxi city were randomly divided into observation group and control group , 32 cases in each group .Control group received elastic bandage pressing arterial puncture part , while observation group received small sealed bottle pressing .Hamilton anxiety scale （ HAMA） was applied to evaluate the anxiety symptoms of patients in two groups , and the healed time , hospital stays and＆amp;nbsp;postoperative satisfactory degrees were also compared .Results The healed time [（2.7 ±0.6） d], hospital stays [（4.8 ±1.6）d] and anxiety symptom scores （1.9 ±0.8） in observation group were significantly shorter/lower than in control group [（5.4 ±1.3） d, （7.2 ±2.1） d, （2.7 ±1.1）], and all the differences had statistical significance （t=10.668,5.142,3.327,respectively;P〈0.01）.Besides, the satisfactory degree of patients in observation group （93.6%） was evidently higher than that in control group （65.6%）, and statistically significance difference was presented （χ2 =7.819,P〈0.01）.Conclusions The local part bound up by elastic bandage in combination with a small sealed bottle pressed the arterial puncture part can obviously shorten the healed time and hospital stays of patients with pseudoaneurysm after coronary arteriography , promote the surgical limb recovery , alleviate anxiety symptoms and improve the patients ’ satisfactory degree , so it deserves to be popularized and promoted in clinic .