中国冶金工业医学杂志

经桡动脉行冠状动脉介入术后不同止血方法的临床效果及意义分析

作者：张小曼王颖郝欣蕾王诗玲

单位：北京大学首钢医院北京 100144

分类号：中图分类号：R 815文献标志码：A文章编号：1005-5495(

出版年,卷(期):页码：2012,29(3):266-267

摘要：

摘要：目的 探讨经桡动脉路径行冠状动脉介入术后不同止血方法的临床效果及意义。方法对我院近年来经桡动脉路径行冠状动脉介入术的1326例患者的临床资料进行回顾性分析，1326例患者中，行冠脉造影921例、介入治疗405例，术后均采用TRBand止血器止血，其中a组（n=429）每30 min放气1次、b组（n=450）每1 h放气1次、c组（n=447）每2 h放气1次，三组患者的临床资料具有可比性且其余临床操作处置均相同，比较三组患者介入术后并发症的发生情况。结果 b组术后并发症发生率明显低于a、c两组(P＜0.05、P＜0.01)。结论经桡动脉路径行冠状动脉介入术后严格合理的止血护理可以明显降低术后并发症的发生率。

Abstract:Objective To assess the clinical significance of different hemostatic methods after transradial coronary intervention.Methods We collected 1326 patients with coronary heart disease after transradial coronary intervention,including 921 coronary arteriography and 405 percutaneous coronary intervention.All the patients received TRBand hemostatic method,and were randomly divided into three groups.Hemostats of 447 cases in group A were deflated every 30 minutes, hemostats of B(n=450)were deflated every one hour,and C(n=447)were every 2 hours.And the incidence rate of complication of each group were observed.Results The incidence rate of complication of group B was lower than each of two others(P＜0.05).Conclusion Reasonable care of hemostasia is important in declining complication of transradial coronary intervention.

基金项目：

作者简介：

参考文献：

［1］周忠江,张远慧冠状动脉粥样硬化性心脏病的介入治疗进展\[J\]新医学,2007,38(12):82
［2］王晓燕,王海昌,曹丰,等冠状动脉介入诊疗术后两种止血方法的比较\[J\]心脏杂志,2005,17(3):25
［3］James CBleeding complications of glycoprotein Ⅱb/Ⅲa receptor inhibitors\[J\]Am Heart J,1999,138：287
［4］Wu CJ,Lo PH,Chang KC,et alTransradial coronary angiography and angioplasty in Chinese patients\[J\]Cathet Caxdiovasc Diagn,1997,40:159\|163
［5］Otaki MPercutaneous transradialapproach for coronary angioplasty Candiology\[J\]Am J Cardiol,1992,81:330\|333
［6］Lotan C,Hasin Y,Mosseri M,et alTransradial approach for coronary angiography and angioplasty\[J\]Am J Cardiol,1995,76:164\|167
［7］Barbeau GR,Carrier G,Ferland S,et alRight transradial approach for coronary procedure:Preliminary result\[J\]J Invas Cardiol,1996,8:19\|21

服务与反馈：

【文章下载】【加入收藏】