[1]朱中生,陈绍良,叶飞,等.经股动脉行介入诊疗术后股动脉止血贴的应用[J].介入放射学杂志,2010,(01):9-11.
　ZHU Zhongsheng,CHEN Shaoliang,YE Fei,et al.Clinical use of femoral artery hemostasis sticking after interventional procedure via femoral artery access[J].journal interventional radiology,2010,(01):9-11.
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经股动脉行介入诊疗术后股动脉止血贴的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年01期
页码:
9-11
栏目:
血管介入
出版日期:
2010-01-15

文章信息/Info

Title:
Clinical use of femoral artery hemostasis sticking after interventional procedure via femoral artery access
作者:
朱中生; 陈绍良; 叶飞; 张俊杰; 周杰; 田乃亮; 林松; 刘志忠; 肖平喜; 曲虹
２１０００６南京南京医科大学附属南京第一医院心内科
Author(s):
ZHU Zhong－sheng; CHEN Shao－liang; YE Fei; ZHANG Jun－jie; ZHOU Jie; TIAN Nai－liang; LIN Song; LIU Zhi－zhong; XIAO Ping－xi; QU Hong
Nanjing First Hospital Affiliated to Nanjing Medical University，Nanjing２１０００６，China
关键词:
冠状动脉造影; 经皮腔内冠状动脉成形术; 止血; 股动脉止血贴; V＋PAD
分类号:
R５４３.５
文献标志码:
A
摘要:
目的观察经股动脉行介入诊疗术后股动脉穿刺点应用股动脉止血贴（V＋PAD）的临床效果。方法应用随机排列表随机入选８０例行冠状动脉介入诊疗的患者，其中偶数应用止血贴共４０例作为试验组，奇数应用徒手压迫不使用止血贴共４０例作为对照组。所有患者均签订知情同意书。观察两组的按压时间、止血后穿刺点的处理、患者卧床姿势、下床活动时间、患者的舒适度、出院前穿刺点并发症情况。结果两组患者年龄、性别构成比、激活凝血时间和血压差异均无统计学意义（P＜０．０５），但试验组和对照组的压迫时间分别为（７．９±０．５）min和（１９．８±５．１）min，卧床时间分别为（６．１±５．０）h和（２３．９±０．２）h，两组间差异均有统计学意义（P值均＜０．０１）。试验组所有患者在拔管后即刻均采用床头抬高３０°卧位，１h后将床头抬高９０°，常压包扎，不制动，所有患者舒适度明显提高。试验组有１例比较肥胖的女性发生假性动脉瘤，其余入选患者在住院期间均未出现穿刺处并发症。结论股动脉止血贴止血迅速，效果确切，患者舒适度明显提高，减轻了医护人员的工作量，可以在临床大规模推广应用。

参考文献/References:

［１］Bogart DB，Bogart MA，Miller JT，et al．Femoral artery catheterization complications：a study of５０３consecutive patients［J］．Cathet Cardiovasc Diagn，１９９５，３４：８－１３．
［２］Koreny M，Riedmuller E，Nikfardjam M，et al．Arterial puncture closing devices compared with standard manual compression after cardiac catheterization：systematic review and meta－analysis［J］．JAMA，２００４，２９１：３５０－３５７．
［３］Carey D，Martin JR，Moore CA，et al．Complications of femoral artery closure devices［J］．Catheter Cardiovasc Interv，２００１，５２：３－７．
［４］Gruchevsky M，Manubens C，Bajaj S，et al．Rapid hemostasis leading to early ambulation in diagnostic cardiac and peripheral angiography patients using V＋PAD TM in conjunction with manual digital pressure at Florida Cath Lab［J］．Cath Lab Digest，２００６，１４：１－４．
［５］Hallak OK，Cubeddu RJ ，Griffith RA，et al．The use of the D－STAT dry bandage for the control of vascular access site bleeding：a multicenter experience in３７６patients［J］．Cardiovasc Intervent Radiol，２００７，３０：５９３－６００．
［６］Chen X，Chen YD，LüSZ，et al．Outcome of fatal pulmonary embolism post coronary intervention［J］．Zhonghua Xin Xue Guan Bing Za Zhi ，２００６，３４：８２２－８２４．

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备注/Memo

备注/Memo:
收稿日期：２００９－０６－２４
更新日期/Last Update: 2010-01-15