CAJ | 학술논문

目的评价TR Band压迫止血器在经桡动脉穿刺行冠脉介入治疗(TRI)术后应用的效果.方法计算机检索Cochrane Library、OVID、PubMed、中国生物医学文献服务系统(CBM)、中国期刊全文数据库(CNKI)、维普数据库(VIP)、万方数据库中的文献,并筛选已获文献的参考文献,纳入TRI术后应用TR Band压迫止血器压迫止血的随机对照试验(RCT).由2名研究员独立检索文献,对纳入研究独立进行方法学质量评价,对符合标准的研究行Meta分析.结果共纳入5项RCT,合计5 028例患者.Meta分析结果显示,TR Band止血器用于TRI术后可缩短压迫止血时间,减少皮损及纤维硬结的发生率,提高患者术后的舒适度,而在穿刺部位渗血、血肿及桡动脉闭塞(RAO)发生率方面,与传统绷带及其他止血器比较差异无统计学意义.结论 TR Band止血器用于TRI术后压迫止血可缩短压迫止血时间、减少皮损及纤维硬结发生率,提高患者舒适度,建议临床推广应用.
목적 평개TR Band압박지혈기재경뇨동맥천자행관맥개입치료(TRI)술후응용적효과.방법 계산궤검색Cochrane Library、OVID、PubMed、중국생물의학문헌복무계통(CBM)、중국기간전문수거고(CNKI)、유보수거고(VIP)、만방수거고중적문헌,병사선이획문헌적삼고문헌,납입TRI술후응용TR Band압박지혈기압박지혈적수궤대조시험(RCT).유2명연구원독립검색문헌,대납입연구독립진행방법학질량평개,대부합표준적연구행Meta분석.결과 공납입5항RCT,합계5 028례환자.Meta분석결과현시,TR Band지혈기용우TRI술후가축단압박지혈시간,감소피손급섬유경결적발생솔,제고환자술후적서괄도,이재천자부위삼혈、혈종급뇨동맥폐새(RAO)발생솔방면,여전통붕대급기타지혈기비교차이무통계학의의.결론 TR Band지혈기용우TRI술후압박지혈가축단압박지혈시간、감소피손급섬유경결발생솔,제고환자서괄도,건의림상추엄응용.
Objective To evaluate the effectiveness of TR Band hemostat in trans-radial coronary intervention patients.Methods The randomized controlled trials (RCTs) on the application of TR Band hemostat in trans-radial coronary intervention patients were collected through the databases such as the Cochrane Library,OVID,PubMed,CBM,VIP and Wanfang Data.The quality of studies was critically appraised and data were extracted by two reviewers independently,and Meta-analysis was conducted for the included studies.Results Five RCTs involving 5 028 patients were included.Meta-analysis showed that the application of TR Band hemostat in trans-radial coronary intervention patients could shorten the time of hemostasis by compression,reduce the incidence rate of skin lesions,improve the postoperative patients with comfort,but the efficacy was not significant in puncture site bleeding,hematoma and incidence of radial artery occlusion (RAO).Conclusions The application of TR Band hemostat in trans-radial coronary intervention patients can significantly decrease the incidence of oppression hemostasis time and reduce the incidence rate of skin lesions,improve the postoperative patients with comfort.It is worth being popularized.