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目的:比较经桡动脉途径冠心病介入诊疗术后采用不同止血方式的并发症。方法432例冠心病住院患者接受经桡动脉途径的介入诊疗,根据术后止血方式不同,分为传统压迫组和止血气囊组,观察两组术后并发症种类及其发生率。结果:在血管痉挛及神经损伤发生率方面,两组比较差异无统计学意义(P>0.05)。传统压迫组患者出血、血肿、麻木、青紫、动脉闭塞及手部肿胀的发生率高于止血气囊组,两组比较差异有统计学意义(P<0.05)。结论:经桡动脉途径行冠心病介入诊疗术后采用止血气囊加压包扎固定止血是十分方便安全有效,是目前较理想的止血方法之一。
OBJECTIVE: To compare the complications of different hemostatic modalities after interventional treatment of transradial coronary artery disease. Methods 432 cases of coronary heart disease hospitalized patients received radial artery interventional treatment, according to the different methods of postoperative hemostasis, divided into traditional oppression group and hemostatic balloon group, to observe the two groups of postoperative complications and their incidence. Results: In terms of the incidence of vasospasm and nerve injury, there was no significant difference between the two groups (P> 0.05). The incidence of hemorrhage, hematoma, numbness, bruising, arterial occlusion and hand swelling in patients in traditional oppression group was significantly higher than that in hemostatic balloon group (P <0.05). Conclusion: It is convenient, safe and effective to use hemostatic balloon compression bandage to stop bleeding after transradial approach to coronary artery disease. It is one of the most ideal hemostatic methods.