首页|不同止血装置对经桡动脉冠状动脉介入治疗后患者压迫止血的安全性及舒适度的影响研究

不同止血装置对经桡动脉冠状动脉介入治疗后患者压迫止血的安全性及舒适度的影响研究

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目的:探究不同止血装置对经桡动脉的冠状动脉介入治疗(transradial coronary intervention,TRI)后患者压迫止血的安全性及舒适度的影响.方法:选取2023年3至9月在某院心血管内科行TRI的患者900例,按照随机数字表法平均分为STEPTY P止血贴组(A组)、旋压式止血器组(B组)与气囊式止血器组(C组)3组,每组300例.比较3组患者TRI后穿刺处的止血效果、局部并发症及舒适度.结果:3组患者的血肿等级、血肿发生率、出血发生率比较差异无统计学意义(P均>0.05).在皮肤损伤发生方面,3组间比较差异有统计学意义(P=0.011),其中A组皮肤损伤发生率(1.0%)低于B组(4.3%)和C组(5.3%),差异有统计学意义(P<0.05).3组患者术侧疼痛发生率、手掌肿胀发生率、肢体麻木发生情况比较差异有统计学意义(P<0.05),其中A组患者发生术侧疼痛、手掌肿胀和肢体麻木的人数均为最少,与B组、C组相比,差异有统计学意义(P均<0.05).结论:对于TRI后止血,3种压迫止血装置都是安全、有效的.其中,STEPTY P止血贴在有效压迫穿刺点止血的同时,能更有效地降低相关并发症的发生概率,改善患者的舒适度.
Effects of different hemostatic devices on safety and comfort of compression hemostasis in patients after transradial coronary intervention
Objective To investigate the effects of different hemostatic devices on the safety and comfort of compression hemostasis in the patients undergoing transradial coronary intervention(TRI).Methods From March to September 2023,900 patients undergoing TRI in the cardiology department of some hospital were divided into three groups according to the randomized numerical table method:STEPTY P hemostatic patch group(group A),spinning hemostatic group(group B)and balloon hemostatic group(group C),with 300 cases in each group.The three groups were compared in terms of the hemostatic effect,local complications and comfort of the puncture sites.Results The three groups had no statistical differences in hematoma grade and incidence rates of hematoma and hemorrhage(all P>0.05).There were significant differences in the occurrence of skin injury among the three groups(P=0.011),and group A had the skin injury incidence rate(1.0%)statistically lower than those of group B(4.3%)and C(5.3%)(P<0.05).There were obvious differences among the three groups in the incidence rates of pain on the operative side,palm swelling and limb numbness(P<0.05),and group A had the incidence rates significantly lower than those of group B and C(all P<0.05).Conclusion All the three compression hemostatic devices can achieve safe and effective post-TRI hemostasis.When compared with the other two devices,STEPTY P hemostatic patch is more effective in reducing the probability of related complications and improving patient comfort while effectively compressing the puncture site for hemostasis.[Chinese Medical Equipment Journal,2025,46(1):49-54]

transradial coronary interventionSTEPTY P hemostatic patchspinning tourniquetballoon hemastatcompre-ssion hemostasisradial artery

许艳玲、王连生、史冬梅

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江苏省人民医院,南京医科大学第一附属医院心血管内科,南京 210029

TRI STEPTY P止血贴 旋压式止血器 气囊式止血器 压迫止血 桡动脉

2025

医疗卫生装备
军事医学科学院卫生装备研究所

医疗卫生装备

影响因子:0.776
ISSN:1003-8868
年,卷(期):2025.46(1)