[1]孙慧,陈如静,倪亮亮.个体化控压注气法在经桡动脉行冠状动脉介入术后压迫止血中的应用效果[J].军事护理,2022,39(06):94-97.[doi:10.3969/j.issn.1008-9993.2022.06.024]
　SUN Hui,CHEN Rujing,NI Liangliang.Application of Individualized Pressure-controlled Gas Injection in Hemostasis by Compression After Transradial Coronary Intervention Operation[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(06):94-97.[doi:10.3969/j.issn.1008-9993.2022.06.024]
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个体化控压注气法在经桡动脉行冠状动脉介入术后压迫止血中的应用效果
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年06期
页码:
94-97
栏目:
技术与方法
出版日期:
2022-06-15

文章信息/Info

Title:
Application of Individualized Pressure-controlled Gas Injection in Hemostasis by Compression After Transradial Coronary Intervention Operation
文章编号:
1008-9993(2022)06-0094-04
作者:
孙慧; 陈如静; 倪亮亮
(盐城市第三人民医院 心内科,江苏 盐城224001)
Author(s):
SUN Hui; CHEN Rujing; NI Liangliang
(Department of Cardiology,Yancheng Third People's Hospital,Yancheng 224001,Jiangsu Province,China)
关键词:
个体化;  控压注气;  经皮桡动脉冠脉介入;  气囊桡动脉压迫器;  止血
Keywords:
individualization;  pressure-controlled gas injection;  percutaneous radial coronary intervention;  balloon radial artery compressor;  hemostasis
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2022.06.024
文献标志码:
A
摘要:
目的 探讨个体化控压注气法在经桡动脉行冠状动脉介入术(trans radial coronary intervention,TRI)术后压迫止血中的应用效果,以期为提高压迫止血质量提供临床依据。方法 2019年6月至2020年6月,采用便利取样法选取某院行TRI术并使用气囊桡动脉压迫器止血患者为研究对象。按择期手术顺序分为观察组(141例)和对照组(139例)。观察组采用个体化控压注气法、对照组采用常规注气法压迫止血,比较止血效果、并发症(压力过大并发症、压力过小并发症)、末梢循环、疼痛程度。结果 两组患者压力过大并发症的差异有统计学意义(4.26% vs.13.67%,χ2=7.628,P=0.006); 两组患者压力过小并发症的差异无统计学意义(19.15% vs.15.83%,χ2=0.535,P=0.465); 两组疼痛程度、末梢循环差异均有统计学意义(均P<0.01); 两组止血效果差异无统计学意义(P=0.317)。结论 TRI术后气囊桡动脉压迫器止血中使用个体化控压注气法,能有效压迫止血,减少并发症发生,减轻疼痛感。
Abstract:
Objective To explore the application effect of individualized pressure-controlled gas injection in hemostasis by compression after transradial coronary intervention(TRI)operation.Methods From June 2019 to June 2020,patients who underwent TRI and used balloon radial artery compression device to stop bleeding in a hospital were selected by convenience sampling method.According to the order of operation,the patients were divided into observation group(n=141)and control group(n=139).The observation group was treated with individual pressure-controlled gas injection,while the control group was treated with conventional gas injection for hemostasis.The hemostatic effect,complications(too much pressure complications,too little pressure complications),peripheral circulation and pain degree were compared between the two groups.Results There was a significant difference in the complications of stress between the two groups(4.26% vs.13.67%,χ2=7.628,P=0.006).There was no significant difference in the complications of low stress between the two groups(19.15% vs.15.83%,χ2=0.535,P=0.465).There were statistically significant differences in pain degree and peripheral circulation between the two groups(all P<0.01).There was no significant difference in hemostatic effect between the two groups(P=0.317).Conclusions Individualized pressure-controlled gas injection can effectively compress hemostasis,reduce complications,relieve pain in postoperative TRI hemostasis using radial artery balloon compression device.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-11 【 修回日期 】 2022-04-21
【 作者简介 】 孙慧,本科,副主任护师,从事心内科临床护理及管理工作
【 通信作者 】 陈如静,电话:0515-81606361
更新日期/Last Update: 2022-06-15