中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
25期
41-43
,共3页
傅懋林%戴为正%何文钦%张惠琼%洪丽燕%孔敏霞
傅懋林%戴為正%何文欽%張惠瓊%洪麗燕%孔敏霞
부무림%대위정%하문흠%장혜경%홍려연%공민하
3M透明敷料贴%经股动脉穿刺全脑血管造影术%股动脉穿刺%动脉鞘折断%造影管折断
3M透明敷料貼%經股動脈穿刺全腦血管造影術%股動脈穿刺%動脈鞘摺斷%造影管摺斷
3M투명부료첩%경고동맥천자전뇌혈관조영술%고동맥천자%동맥초절단%조영관절단
3M transparent film%Aortocranial angiography via the femoral artery%Femoral artery puncture%Arterial sheath breakage%Angiographic tube breakage
目的 探讨3M透明敷料贴用于预防经股动脉穿刺全脑血管造影术患者穿刺并发症的效果.方法 回顾性分析200例经股动脉穿刺全脑血管造影术患者的临床资料.其中对照组为2012年2月至2013年2月未使用透明敷料贴患者80例,观察组为2013年3月至2014年2月使用3MTM TegadermTM透明敷料贴固定动脉鞘患者120例.分析患者出现动脉鞘管折断、造影管折断、股动脉痉挛、穿刺处淤斑以及皮下血肿等并发症情况,评估使用3M透明敷料贴固定动脉鞘的可行性及有效性.结果 观察组动脉鞘管折断、造影管折断、股动脉痉挛、穿刺处淤斑以及皮下血肿总并发症发生率明显低于对照组[5.8％(7/120)比26.2％(21/80)],差异有统计学意义(P＜0.05).结论 3M透明敷料贴价格低廉,安全性好,应用于固定股动脉穿刺鞘管可以有效减少股动脉穿刺相关并发症的发生,且操作方法简单,值得广泛推广使用.
目的 探討3M透明敷料貼用于預防經股動脈穿刺全腦血管造影術患者穿刺併髮癥的效果.方法 迴顧性分析200例經股動脈穿刺全腦血管造影術患者的臨床資料.其中對照組為2012年2月至2013年2月未使用透明敷料貼患者80例,觀察組為2013年3月至2014年2月使用3MTM TegadermTM透明敷料貼固定動脈鞘患者120例.分析患者齣現動脈鞘管摺斷、造影管摺斷、股動脈痙攣、穿刺處淤斑以及皮下血腫等併髮癥情況,評估使用3M透明敷料貼固定動脈鞘的可行性及有效性.結果 觀察組動脈鞘管摺斷、造影管摺斷、股動脈痙攣、穿刺處淤斑以及皮下血腫總併髮癥髮生率明顯低于對照組[5.8％(7/120)比26.2％(21/80)],差異有統計學意義(P＜0.05).結論 3M透明敷料貼價格低廉,安全性好,應用于固定股動脈穿刺鞘管可以有效減少股動脈穿刺相關併髮癥的髮生,且操作方法簡單,值得廣汎推廣使用.
목적 탐토3M투명부료첩용우예방경고동맥천자전뇌혈관조영술환자천자병발증적효과.방법 회고성분석200례경고동맥천자전뇌혈관조영술환자적림상자료.기중대조조위2012년2월지2013년2월미사용투명부료첩환자80례,관찰조위2013년3월지2014년2월사용3MTM TegadermTM투명부료첩고정동맥초환자120례.분석환자출현동맥초관절단、조영관절단、고동맥경련、천자처어반이급피하혈종등병발증정황,평고사용3M투명부료첩고정동맥초적가행성급유효성.결과 관찰조동맥초관절단、조영관절단、고동맥경련、천자처어반이급피하혈종총병발증발생솔명현저우대조조[5.8％(7/120)비26.2％(21/80)],차이유통계학의의(P＜0.05).결론 3M투명부료첩개격저렴,안전성호,응용우고정고동맥천자초관가이유효감소고동맥천자상관병발증적발생,차조작방법간단,치득엄범추엄사용.
Objective To explore the effect of 3M Tegaderm transparent film on prevention of puncture complications in patients underwent aortocranial angiography via the femoral artery.Methods A retrospective analysis was carried out on 200 patients underwent aortocranial angiography via the femoral artery from February 2012 to February 2014.Eighty patients without using the transparent dressing paste were as the control group,and other 120 patients using 3M Tegaderm transparent film for fixation of arterial sheath were as the observation group.The occurrences of complications,such as arterial sheath breakage,angiographic tube breakage,femoral artery spasm,bruises at the puncture site and subcutaneous hematoma were analyzed,and the feasibility and effectiveness of 3M Tegaderm transparent film for fixation of arterial sheath were assessed.Results The incidence rate of arterial sheath breakage,angiographic tube breakage,femoral artery spasm,bruises at the puncture site and subcutaneous hematoma were significantly reduced in observation group compared with those in control group [5.8％ (7/120) vs.26.2％ (21/80)] (P ＜ 0.05).Conclusion Application of 3M Tegaderm transparent film with a low price and good security for fixation of femoral artery sheath can effectively reduce the occurrence of complications related to femoral artery puncture,which is worthy of wide spreading.
