CAJ | 학술논문

目的比较冠状动脉介入术后桡动脉穿刺点分别以改良米字弹力绷带包扎与TR-Band止血带压迫止血的效果.方法随机将142例经桡动脉冠状动脉介入术患者分成观察组73例与对照组69例,观察组为改良米字弹力绷带包扎,对照组为应用TR-Band止血带,观察2组患者止血效果、不舒适感和局部并发症的发生率. 结果观察组与对照组止血成功率分别为98.63%、94.20%,观察组止血成功率高于对照组,但2组比较无显著差异;不舒适感:疼痛的发生,对照组高于观察组,肿胀的发生,观察组高于对照组,2组比较差异显著;麻木的发生,2组比较无显著差异;局部皮肤并发症的发生,2组比较无显著差异. 结论经桡动脉冠状动脉介入术后应用改良米字弹力绷带包扎,取材方便,易于观察、操作,止血效果安全、可靠,局部并发症的发生率低,是一种安全、有效、经济实惠的止血方法.
목적 비교관상동맥개입술후뇨동맥천자점분별이개량미자탄력붕대포찰여TR-Band지혈대압박지혈적효과.방법 수궤장142례경뇨동맥관상동맥개입술환자분성관찰조73례여대조조69례,관찰조위개량미자탄력붕대포찰,대조조위응용TR-Band지혈대,관찰2조환자지혈효과、불서괄감화국부병발증적발생솔. 결과관찰조여대조조지혈성공솔분별위98.63%、94.20%,관찰조지혈성공솔고우대조조,단2조비교무현저차이;불서괄감:동통적발생,대조조고우관찰조,종창적발생,관찰조고우대조조,2조비교차이현저;마목적발생,2조비교무현저차이;국부피부병발증적발생,2조비교무현저차이. 결론경뇨동맥관상동맥개입술후응용개량미자탄력붕대포찰,취재방편,역우관찰、조작,지혈효과안전、가고,국부병발증적발생솔저,시일충안전、유효、경제실혜적지혈방법.
Objective To compare the effect of hemostasis of puncture point of radial artery be-tween using modified mi- type elastic bandage and TR- Band tourniquet after the operation of coronary in-tervention. Methods 142 patients who were to undergo transradial coronary intervention were divided in-to the observation group (73 cases)and the control group(69 cases). The observation group applied modi-fied mi- type elastic bandage and the control group adopted TR- Band tourniquet. The effect of hemostasis, discomfort degree and incidence rate of local complication were observed in the two groups. Results The success rate of hemostasis of the observation group (98.63%) was higher than that of the control group (94.20%), but the difference between two groups was of no statistical significance. For the discomfort de-gree: the feeling of pain was higher in the control group, incidence of swelling was higher in the observa-tion group,the difference between the two groups had statistical significance,for the incidence of numb-hess,the test was of no statistical significance,for the local skin complication,the difference between two groups was of no statistical significance. Conclusions Putting modified mi- type elastic bandage into the application after the operation of coronary intervention,we find that choosing material is convenient,it is easy to observe and operate,the effect of hemostasis is safe and reliable,the rate of complication is low. So it is one safe, effective and ecnomical hemostasia method.