男性患者弹力绷带压迫止血法与气囊压迫止血器对经桡动脉冠状动脉介入术后止血效果的比较

闵英; 赵妍; 高丽娜; 刘艳杰; 马俊

doi:10.12125/j.chj.202205119

男性患者弹力绷带压迫止血法与气囊压迫止血器对经桡动脉冠状动脉介入术后止血效果的比较

Comparison of hemostatic effects between elastic bandage pressure hemostasis and balloon pressure hemostasis device after transradial coronary intervention in male patients

摘要

摘要:
目的探讨男性患者经桡动脉冠状动脉介入治疗（TRA-PCI）后弹力绷带压迫止血法与气囊压迫止血器的止血的效果差异。
方法将经右侧桡动脉行TRA-PCI的208例男性患者，根据术后压迫止血方式不同分为弹力绷带压迫止血组（n=105）和气囊压迫止血器组（n=103），比较两组基线特征及桡动脉并发症发生率。
结果两组患者基线资料比较，年龄、体质量指数、吸烟、既往史、入院诊断、在院用药情况差异均无显著统计学意义。两组患者并发症比较，术区出血、皮肤瘀斑、上肢肿胀、手部发绀、张力性水疱、桡动脉闭塞、上肢悬挂治疗的比例差异均无显著统计学意义。弹力绷带压迫止血组较气囊压迫止血器组上肢麻木（0.00% vs. 2.91%，P<0.05）、上肢疼痛（0.00% vs. 5.83%，P<0.05）、总体事件（4.76% vs. 17.48%，P<0.01）比例低，且差异均具有显著统计学意义。两组患者均无迷走神经反射、动静脉瘘发生。
结论弹力绷带压迫止血法与气囊压迫止血器相比，能够减少男性患者TRA-PCI的术后相关并发症发生率。

Abstract:
AIM To explore the difference in hemostatic effects between elastic bandage compression hemostasis method and balloon pressure hemostatic device after percutaneous coronary intervention via radial artery (TRA-PCI) in male patients.
METHODS A total of 208 male patients who underwent TRA-PCI via right radial artery were divided into elastic bandage compression hemostasis group (n=105) and balloon pressure hemostatic device group (n=103) according to different methods of postoperative pressure compression hemostasis. Baseline data and the incidence of baseline and radial artery complications were compared between the two groups.
RESULTS There were no significant differences in age, body mass index, previous medical history, admission diagnosis and medication between the two groups . There were no significant differences in operative area bleeding, skin ecchymosis, upper limb swelling, hand cyanosis, tension blister, radial artery occlusion and upper limb suspension treatment between the two groups . The elastic bandage compression hemostasis group had lower upper limb numbness (0.00% vs. 2.91%, P<0.05), upper limb pain (0.00% vs. 5.83%, P<0.05) and overall events (4.76% vs. 17.48%, P<0.01) than the balloon compression hemostat group, and the difference was statistically significant. There was no vagus reflex and arteriovenous fistula in both groups.
CONCLUSION Radial artery elastic bandage compression hemostasis reduces postoperative complications in male patients after TRA-PCI compared with radial balloon compression hemostatic device.

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