CAJ | 학술논문

背景:对比血管闭合装置在心血管介入诊疗手术后股动脉止血中的安全性、有效性、并发症发生率和舒适性.方法:由第一作者应用计算机检索维普数据库中与血管闭合器在心血管介入诊疗技术中应用有关的文献,检索时限为1998-01/2009-10.检索关键词:血管闭合器,冠状动脉造影,经皮冠状动脉介入治疗.纳入标准:①选取针对性强,相关度高的文献.②对同一领域的文献选择近期发表或权威杂志的文献.③排除较陈旧的理论观点以及一些重复性研究.对资料进行初审,并查看每篇文献后的引文.结果:计算机初检到72篇文献,阅读标题和摘要进行初筛,排除研究目的与本文无关的文献20篇,内容重复性研究32篇,共20篇文献符合标准.目前冠状动脉介入诊断治疗后对股动脉穿刺点止血的方法主要有人工压迫止血、机械压迫止血及血管闭合装置.传统的人工或机械压迫的方法压迫和制动时间长,增加了并发症发生的危险,同时极大地增加了患者的痛苦和延长了住院时间.而近年来临床上应用的一些新型的针对穿刺点局部的缝合或封堵装置,如:Anglo-Seal血管封堵器,Perclose血管缝合器等,不仅可以明显减少患者的卧床时间和住院时间,也可以减少对外周血管的损伤.结论:对于临床工作者,实际工作中在决定哪些患者使用血管闭合器时,既要考虑采用血管闭合器的安全性和有效性,也要兼顾血管闭合器处理动脉穿刺的费用和效益比,使患者达到最高的满意度.
배경:대비혈관폐합장치재심혈관개입진료수술후고동맥지혈중적안전성、유효성、병발증발생솔화서괄성.방법:유제일작자응용계산궤검색유보수거고중여혈관폐합기재심혈관개입진료기술중응용유관적문헌,검색시한위1998-01/2009-10.검색관건사:혈관폐합기,관상동맥조영,경피관상동맥개입치료.납입표준:①선취침대성강,상관도고적문헌.②대동일영역적문헌선택근기발표혹권위잡지적문헌.③배제교진구적이론관점이급일사중복성연구.대자료진행초심,병사간매편문헌후적인문.결과:계산궤초검도72편문헌,열독표제화 적요진행초사,배제연구목적여본문무관적문헌20편,내용중복성연구32편,공20편문헌부합표준.목전관상동맥개입진단치료후대고동맥천자점지혈적방법주요유인공압박지혈、궤계압박지혈급혈관폐합장치.전통적인공혹궤계압박적방법압박화제동시간장,증가료병발증발생적위험,동시겁대지증가료환자적통고화연장료주원시간.이근년래림상상응용적일사신형적침대천자점국부적봉합혹봉도장치,여:Anglo-Seal혈관봉도기,Perclose혈관봉합기등,불부가이명현감소환자적와상시간화주원시간,야가이감소대외주혈관적손상.결론:대우림상공작자,실제공작중재결정나사환자사용혈관폐합기시,기요고필채용혈관폐합기적안전성화유효성,야요겸고혈관폐합기처리동맥천자적비용화효익비,사환자체도최고적만의도.
OBJECTIVE: To compare the safety, efficacy, incidence of complication and comfort degree of various hemostasis device used in femoral artery hemostasis following cardiovascular intervention.METHODS: A computer-based online search of VIP was performed for articles related to hemostasis device in cardiovascular intervention published between January 1998 and October 2009 with the key words "hemostasis device, coronary angiography,percutaneous coronary intervention". Inclusion criteria: (1) articles with close correlation with the content; (2) articles in the same filed published recently or in authoritative journals; (3) old or repetitive articles. The data were primarily reviewed and the references of each articles were examined.RESULTS: A total of 72 articles were collected. After screening the titles and Abstract s, 20 articles not related with the content, and 32 repetitive studies were excluded, and 20 were included. Currently, the hemostasis methods for femoral artery puncture site following coronary intervention included manually compressive hemostasis, mechanical compressive hemostasis and hemostasis device. Traditional manual or mechanical compression requires long periods of compression and braking, which increases risks for complications, and impairs the patients and prolongs the hospital stay. The novel suture or occlusion device for puncture site used in clinic, such as Anglo-Seal or Perclose, significantly reduces bed lying and hospital stay of the patients, and attenuates peripheral vascular damages.CONCLUSION: For clinical physicians, it is necessary to consider the safety and efficacy, as well as the ratio of cost and quality for selection of hemostasis device, so that the patients can satisfy the clinical effects.