摘要
目的评价经皮冠状动脉成形术(percutaneous coronary interventions,PCI)术后,穿刺股动脉应用Perclose ProGlide血管缝合器止血的安全性、可靠性及对常见并发症的防范。方法 2007年4月2009年5月,收治217例经股动脉PCI术后患者,根据术后是否使用血管缝合器将患者随机分成血管缝合器组(105例)和对照组(经手法压迫止血112例)。观察记录两组患者下肢制动时间及血管并发症等。结果血管缝合器组103例操作成功(98.1%),2例失败;对照组成功112例(100%)。两组成功率比较,差异无统计学意义(P>0.05)。血管缝合器组和对照组患者下肢制动时间分别为(4.1±1.2)和(25.0±3.1)h,两组比较,差异有统计学意义(P<0.01)。术后两组并发症发生率比较,差异无统计学意义(P>0.05)。结论血管缝合器是一种安全、可靠的止血方法,可明显缩短制动时间,无明显的穿刺部位血管并发症,熟练操作可减少并发症的发生。
Objective To evaluate the safety of Perclose ProGlide Suture-Mediated Closure System applied to femoral artery puncture site after percutaneous coronary interventions（PCI） and to explore the prevention of possible common complications.Methods A total of 217 patients who underwent PCI from April 2007 to May 2009 were randomly divided into Perclose ProGlide group（105 patients,hemostasis by Perclose ProGlide Suture-Mediated Closure System） and control group（112 patients,hemostasis by compression）.The Lower-limb braking time and the complications were recorded and analyzed.Results The successful rate was 98.1%（103 patients） in Perclose ProGlide group,and 100%（112 patients） in the control group;the difference between the two groups was not significant（P〉0.05）.But there was a significant difference（P〈0.01） in Lower-limb braking time between the two groups[（4.1±1.2） and（25±3.1） hours].The post-operative complications between the two groups didn’t differ much.Conclusions Perclose ProGlide Suture-Mediated Closure System is a safe,effective and simple method after percutaneous coronary intervention to achieve immediate hemastasis.Skillfully processing may reduce the vascular complications.
出处
《华西医学》
CAS
2011年第2期258-259,共2页
West China Medical Journal
关键词
经皮冠状动脉成形术
血管缝合器
并发症
Percutaneous coronary intervention
Perclose ProGlide Suture-Mediated Closure System
Complication
作者简介
沈鸿梅（1965-）女，四川绵阳人，主管护师，大专，Email：281280308@qq．com
[通讯作者]张再伟，Email：zhzw2001@yeah．net
