CAJ | 학술논문

目的：探讨经桡动脉途径冠状动脉介入术后穿刺口的最佳包扎止血方法。方法将80例经桡动脉冠状动脉介入术患者按手术时间顺序分为治疗组(38例)和对照组(42例)，治疗组按照包扎止血方法：用桡动脉止血带注气15m l、定时减压、低压力水平维持8-12h包扎；对照组按传统方法包扎止血。观察两种包扎止血方法术后手部肿胀、麻木、发绀，穿刺点渗血、血肿，桡动脉闭塞，血管迷走反射等并发症发生情况。结果治疗组手部肿胀、麻木、发绀和血管迷走反射发生率明显低于对照组，差异有统计学意义(P<O.Ol或P<O.05)，而两组局部渗血、血肿和桡动脉闭塞等并发症发生率比较，差异无统计学意义(P>O.05)。结论以确定桡动脉穿刺口的包扎方法，能减少患者血管并发症的发生率；
목적：탐토경뇨동맥도경관상동맥개입술후천자구적최가포찰지혈방법。방법장80례경뇨동맥관상동맥개입술환자안수술시간순서분위치료조(38례)화대조조(42례)，치료조안조포찰지혈방법：용뇨동맥지혈대주기15m l、정시감압、저압력수평유지8-12h포찰；대조조안전통방법포찰지혈。관찰량충포찰지혈방법술후수부종창、마목、발감，천자점삼혈、혈종，뇨동맥폐새，혈관미주반사등병발증발생정황。결과치료조수부종창、마목、발감화혈관미주반사발생솔명현저우대조조，차이유통계학의의(P<O.Ol혹P<O.05)，이량조국부삼혈、혈종화뇨동맥폐새등병발증발생솔비교，차이무통계학의의(P>O.05)。결론이학정뇨동맥천자구적포찰방법，능감소환자혈관병발증적발생솔；
Objective To explore the best method of bandaging and hemostasis for puncture point after coronary intervention by radial artery path.Methods 80 such patients were divided into treat group(n=38)and control group(n=42)according to the operation time.For the treat group,the method of bandaging and hemostasis Was based on the principle:1 5 ml of gas Was injected with radial artery tourniquet and then timed decompression Was adopted.The puncture point kept bandaged with low pressure for 8-1 2 hours.For the control group, the conventional method of bandaging was adopted.Then a comparison Was made of the incidence of hand swel ing,numbness,cyanosis,oozing of blood in the puncture point,hematoma, obstruction in radial artery,vasovagal reflex between the two groups.Results :The rate of hand swel ing,numbness,cyanosis and vasovagal reflex in the treat group Was significantly lower than that of the control group,the difference being statistical y significant(P<0.0l or P<O.05).However,there Was no statistical y significant difference in local oozing of blood, hematoma,and obstruction in radial artery(P>0.05).Conclusion: the method of bandaging the puncture point in the radial artery cal lower the incidence rate of vascular complications in patients.