[1]何川,陈玉琴,邓进,等.足趾血氧饱和度监测法在判断股动脉压迫止血时间点中的应用[J].军事护理,2021,38(10):44-46.[doi:10.3969/j.issn.1008-9993.2021.10.012]
　HE Chuan,CHEN Yuqin,DENG Jin,et al.Application of Toe Blood Oxygen Saturation Monitoring in the Estimation of the Timing of Femoral Artery CompressionHemostasis[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):44-46.[doi:10.3969/j.issn.1008-9993.2021.10.012]
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足趾血氧饱和度监测法在判断股动脉压迫止血时间点中的应用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年10期
页码:
44-46
栏目:
研究荟萃
出版日期:
2021-10-15

文章信息/Info

Title:
Application of Toe Blood Oxygen Saturation Monitoring in the Estimation of the Timing of Femoral Artery CompressionHemostasis
文章编号:
1008-9993(2021)10-0044-03
作者:
何川; 陈玉琴; 邓进; 赵静; 胡晓
(川北医学院附属医院 放射介入科,四川 南充 637100)
Author(s):
HE Chuan; CHEN Yuqin; DENG Jin; ZHAO Jing; HU Xiao
(Department of Interventional Radiology,The Affiliated Hospital of North Sichuan Medical College,Nanchong 637100,Sichuan Province,China)
关键词:
介入治疗;  动脉压迫止血器;  血氧饱和度;  护理
Keywords:
interventional management;  artery compression hemostatic device;  oxygen saturation;  nursing
分类号:
R472.9
DOI:
10.3969/j.issn.1008-9993.2021.10.012
文献标志码:
A
摘要:
目的 评价足趾血氧饱和度监测法在判断股动脉压迫止血时间点的有效性和安全性。方法 采用便利抽样法选取2020年6月至2021年6月在某院行股动脉入路介入手术并采用动脉压迫器止血的70名患者为研究对象,按照择期手术顺序分为观察组(38例)和对照组(32例)。对照组采用传统扪及足背动脉法来判断压迫止血的时间点,观察组采用监测穿刺侧足趾血氧饱和度曲线变化的方法来判断压迫止血的时间点。对比两组患者股动脉压迫器螺旋手柄旋拧圈数、止血时间、制动时间、止血成功率和并发症。结果 观察组和对照组在旋拧圈数(t=1.41,P=0.16)、止血时间(t=1.33,P=0.19)、制动时间(t=0.27,P=0.79)、止血成功率(χ2=0.85,P=0.36)和并发症(χ2=1.20,P=0.27)上差异均无统计学意义。结论 采用足趾血氧饱和度监测法判断股动脉压止血的时间点不仅安全有效,而且较传统方法更加客观,值得临床推广。
Abstract:
Objective To evaluate the efficacy and safety of toe blood oxygen saturation monitoring in the estimation of the timing of femoral artery compression hemostasis.Methods From June 2020 to June 2021,70 patients who underwent femoral artery interventional surgery and used arterial compression to stop bleeding were selected by convenience sampling method.The patients were divided into study group(n=38)and control group(n=32)according to the order of operation.The study group used a traditional way which was palpated the dorsal artery of foot to estimate the timing of hemostasis while the control group used devices by monitoring the blood oxygen saturation of toes to estimate the timing of hemostasis.The frequency of screw handle of femoral artery compression devices,the timing of hemostasis,the time of immobilization,the success rate and complications at puncturing site were recorded.Results There were no significant differences between the two groups in the frequency of screw handle of femoral artery compression devices(t=1.41, P=0.16),the time of hemostasis(t=1.33, P=0.19), the time of immobilization(t=0.27, P=0.79),the success rate(χ2=0.85, P=0.36)and complications at puncturing site(χ2=1.20, P=0.27).Conclusions Compared with the traditional way,toe blood oxygen saturation monitoring is more effective,more objective and safer in estimating the timing of hemostasis,which is worthy of clinical promotion.

参考文献/References:

[1] 沈冬梅,陈健聪.血管介入不同入路方式及穿刺点术后护理研究进展[J].护理研究,2020,34(20):3661-3664.
[2] 杨春梅,陈丽芳,陈祎,等.血氧饱和度监测在经桡动脉冠状动脉介入术后预防桡动脉闭塞中的应用[J].中华护理杂志,2013,48(5):404-406.
[3] 李丽,叶文琴.影响脉搏血氧饱和度准确性的因素与护理干预[J].护理研究:中旬版,2013,27(7B):2068-2069.
[4] 张先军,轧春妹,耿丽,等.动脉压迫止血器应用于肝癌介入术后患者效果的Meta分析[J].中华护理杂志,2016,51(7):874-880.
[5] 李丽娟,孙艳杰,朱荔,等.封堵止血系统ExoSeal与YM-GU-1229型动脉压迫止血器在经股动脉穿刺全脑血管造影术中的应用效果比较[J].实用心脑肺血管病杂志,2017,25(7):86-88.
[6] JIANG J,ZOU J J,MA H,et al.Network Meta-analysis of randomized trials on the safety of vascular closure devices for femoral arterial puncture site haemostasis[J/OL].[2021-05-20]. https://www.nature.com/articles/srep13761.
[7] 吕平,梁锡铭,吴柳.老年机械通气患者脉氧饱和度波形与低血压的相关性[J].解放军护理杂志,2015,32(10):54-55,69.
(本文编辑:郁晓路)

备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-29 【 修回日期 】 2021-09-02
【 作者简介 】 何川,硕士,护师,从事急危重症护理、介入护理工作
【 通信作者 】 陈玉琴,电话:0817-2262113
更新日期/Last Update: 2021-10-15