CAJ | 학술논문

目的：探讨创可贴纱块双压法在经桡动脉行冠状动脉介入治疗后穿刺局部创口加压止血的效果。方法选择心血管内科100例经桡动脉行冠心病介入治疗的患者，按住院先后分为对照组和观察组，各50例。对照组患者在经桡动脉行冠心病介入拔鞘管后穿刺部位采用桡动脉介入穿刺部位止血器压迫止血的方法，观察组患者采用创可贴联合纱块双压法进行加压止血的方法。观察比较两组患者在按压止血时间、渗血、淤血、肢端肿胀等情况。结果两组平均持续加压止血时间观察组明显短于对照组，在渗血、淤血、肢端肿胀方面的发生率明显低于对照组，两组比较有明显差异性（P＜0．05），具有统计学意义。结论采用创可贴联合纱块双压法应用于穿刺拔鞘后局部创口的压迫止血时间明显缩短，止血效果好，对静脉回流受阻小，能降低拔鞘后的并发症，提高患者的舒适度，减轻病人的经济负担，能代替桡动脉介入穿刺部位止血器的应用，且能适应于各种穿刺创口的加压止血，能增加社会效益和经济效益。
목적：탐토창가첩사괴쌍압법재경뇨동맥행관상동맥개입치료후천자국부창구가압지혈적효과。방법선택심혈관내과100례경뇨동맥행관심병개입치료적환자，안주원선후분위대조조화관찰조，각50례。대조조환자재경뇨동맥행관심병개입발초관후천자부위채용뇨동맥개입천자부위지혈기압박지혈적방법，관찰조환자채용창가첩연합사괴쌍압법진행가압지혈적방법。관찰비교량조환자재안압지혈시간、삼혈、어혈、지단종창등정황。결과량조평균지속가압지혈시간관찰조명현단우대조조，재삼혈、어혈、지단종창방면적발생솔명현저우대조조，량조비교유명현차이성（P＜0．05），구유통계학의의。결론채용창가첩연합사괴쌍압법응용우천자발초후국부창구적압박지혈시간명현축단，지혈효과호，대정맥회류수조소，능강저발초후적병발증，제고환자적서괄도，감경병인적경제부담，능대체뇨동맥개입천자부위지혈기적응용，차능괄응우각충천자창구적가압지혈，능증가사회효익화경제효익。
Objective To explore the effect of compression hemostasis for local puncture point after percutaneous radial artery approach for coronary intervention .Methods One hundred patients who required coronary intervention in cardiovascular department were divided into control group and observation group ( n=50) according to they were in hospital in time sequence .In the control group , patients who accepted transradial coronary intervention were adopted arteries radials pneumatic tourniquet to hemostasis after pulling out sheath ;while the observation group were adopted band-aid joint gauze piece of dual pressure method to compression hemostasis.The hemostatic time , the condition of exudation , congestion and hematoma were observed in each group.Results Duration of compression hemostasis in the observation group was significantly shorter than that in the control group .The incidence rate of exudation , congestion , hematoma and limbs swelling were significantly lower than those in the control group (all P<0.01).Conclusions Band-aid joint gauze piece of dual pressure method is applied to local wound after pulling out sheath .The dual pressure method gives an effective hemostasis , can significantly reduce ligature time , avoids obstruction of venous reflux , and reduces the incidence of complications after pulling out sheath .It can take the place of disposable arteries radials pneumatic tourniquet , and suitable for all kinds of direct pressure of puncture wounds .The application of band-aid joint gauze piece of dual pressure method allows for improved the comfort of patients , lighten patients economic burden , increased the economic benefits and made societal benefits .