[1]刘 楠,张广平,李慎茂. 动脉压迫止血器在脑血管造影术后的应用[J].介入放射学杂志,2012,(07):593-596.
 LIU Nan,ZHANG Guang- ping,LI Shen- mao.. The application of artery compression hemostatic device in cerebral angiography[J].journal interventional radiology,2012,(07):593-596.
点击复制

 动脉压迫止血器在脑血管造影术后的应用 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年07期
页码:
593-596
栏目:
临床研究
出版日期:
2012-07-30

文章信息/Info

Title:
 The application of artery compression hemostatic device in cerebral angiography
作者:
 刘 楠 张广平 李慎茂
Author(s):
LIU Nan ZHANG Guang- ping LI Shen- mao.
  Department of Neurology, Beijing Puren Hospital, Beijing 100062, China
关键词:
 【关键词】 动脉止血压迫器 手法压迫 脑血管造影术
文献标志码:
A
摘要:
 【摘要】 目的 评价动脉止血压迫器在经股动脉脑血管造影术后应用的安全性及有效性。方法 将经股动脉途径行脑血管造影术的150例患者随机分为3组,A组43例术后采用天津怡美医疗器械有限公司生产的YM?蛳 GU?蛳1229型动脉压迫止血器压迫止血;B组48例采用传统人工手法压迫止血法;C组59例先采用手法压迫20 min,再结合动脉止血压迫器压迫止血。3组术后抗凝、抗血小板、降脂等其他常规处置相同。比较3组术后止血效果、制动时间和并发症发生率。 结果 3组止血方法进行比较, 其中止血时间A组为(2.19 ± 1.5) min,B组为(3.81 ± 2.5) min,C组为(3.69 ± 1.7) min,A组比其他两组略短,差异有统计学意义;下肢制动时间A组为(8.2 ± 2.1) h,B组为(23.6 ± 2.3) h,C组为(7.5 ± 1.6) h,B组明显长于另两组;止血成功率3组分别为97.8%、97.9%、100%,差异无统计学意义;观察血管并发症的发生率,A组高于其他2组,C组最少。 结论 单纯应用压迫器止血虽卧床时间减少,但并发症发生率显著为高;手法压迫并发症少,但是卧床时间长,患者耐受程度低;手法压迫联合压迫器压迫止血的效果好,卧床时间短、并发症少,患者舒适度高,值得临床推广使用。

参考文献/References:

[1]   李爱新. 冠状动脉介入术后止血方法比较及护理进展[J]. 国际护理学杂志, 2006, 25: 401 ?蛳 404.
[2]   文   倩, 王叶丽. 经皮冠状动脉腔内成形术及支架置入术后预防尿潴留的护理干预[J].中国实用护理杂志, 2006, 22: 21.
[3]   贾利新, 孙俊芳, 张玉霄.老年冠状动脉支架术后两种止血方法止血效果及血管并发症的比较[J]. 护士进修杂志, 2006,21:304 ?蛳 306.
[4]   杨鹏生, 董少红, 葛均波, 等. 心导管术拔鞘管后应用经皮血管闭合器疗效观察[J]. 中华心血管病杂志, 2004, 32: 333 ?蛳 335.
[5]  Ikolsky N Mehran R, Halkin A, et al. Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures:a meta analysis[J]. Am Coll Cardiol, 2004, 44: 1200 ?蛳 1209.
[6]   张建起, 姜铁民, 李玉明, 等. 经皮血管缝合器与封堵器的临床对比观察[J]. 天津医药,2006, 34: 131 ?蛳 132.
[7]   邹春莉, 钟代曲, 黄玲玲. 动脉压迫止血器对经股动脉冠状动脉造影术后止血的效果[J]. 解放军护理杂志, 2010, 27: 245 ?蛳 247.
[8]  Benson LM, Wunderly D, Perry B, et al. Dete?蛳rmining best practice: Comparison of three methods of femoral sheath removal after cardiac interventional procedures[J]. Heart Lung, 2005, 34: 115 ?蛳 121.
[9]  Aksoy M, Becquemin JP, Desgranges P, et al. The safety and efficacy of angioseal in the rapeutic endovascular interventional[J]. Eur J Vasc Endovasc Surg, 2006, 32: 90 ?蛳 93.

相似文献/References:

[1].Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].介入放射学杂志,2007,(10):718.
 ZHANG He,LI Ming-hua,WANG Chun,et al.Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury :case report and literature review[J].journal interventional radiology,2007,(07):718.
[2]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠11例[J].介入放射学杂志,2011,(11):898.
 LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(07):898.
[3]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853.
 LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(07):853.
[4]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
 ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(07):848.
[5]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合125Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
 XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(07):863.
[6]王铭义,王 峰. 脑灌注成像在颈动脉狭窄介入治疗中的应用[J].介入放射学杂志,2011,(11):915.
 WANG Ming-yi,WANG Feng..Application of brain perfusion imaging in interventional treatment of carotid artery stenosis[J].journal interventional radiology,2011,(07):915.
[7]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858.
 DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(07):858.
[8]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
 MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(07):913.
[9]王海亭,蒋忠仆,周 毅,等. 透视引导下鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张30例[J].介入放射学杂志,2011,(11):905.
 WANG Hai-ting,JIANG Zhong-pu,ZHOU Yi,et al.Fluoroscopically-guided foam sclerotherapy with sodium morrhuate for the treatment of lower extremity varices[J].journal interventional radiology,2011,(07):905.
[10]杜 鲲,管 生,胡小波,等. 原发性肝癌TACE术后完全缓解病灶磁共振 ADC值可重复性及一致性研究[J].介入放射学杂志,2011,(11):867.
 DU Kun,GUAN Sheng,HU Xiao-bo,et al.Magnetic resonance apparent diffusion coefficient values of the completely remitted lesions of primary hepatocellular carcinoma after TACE: a study of their repeatability and consistency[J].journal interventional radiology,2011,(07):867.

备注/Memo

备注/Memo:
 (收稿日期:2011-12-15)
更新日期/Last Update: