摘要
目的观察经皮股动脉穿刺脑血管造影术后,采用不同策略股动脉压迫及制动方法对患者术后相关并发症的影响。方法收集2017年1月至2019年12月,南华大学附属长沙中心医院符合条件的120例脑血管造影病例,随机分配到A、B及C三组。A组:徒手压迫5分钟+穿刺侧下肢制动2小时;B组:徒手压迫5分钟+穿刺侧下肢制动6小时;C组:徒手压迫10分钟+穿刺侧下肢制动6小时。比较三组患者在股动脉穿刺处的渗血、血肿、假性动脉瘤、动静脉瘘、迷走反射、下肢深静脉血栓及下肢动脉缺血等并发症的情况。结果三组术后并发症比较,无显著差异;A组相较于B组及C组,患者腰酸疼痛不适感减少。结论脑血管造影术后,采用徒手压迫5分钟及穿刺侧下肢制动2小时的策略,能减少患者腰痛不适感,提高了工作效率。
Objective To observe the effect of different strategies of femoral artery compression and immobilization after percutaneous femoral cerebral angiography on postoperative complications.Methods From January 2017 to December 2019,120 patients with cerebrovascular disease from Changsha Central Hospital of Nanhua University were randomly assigned to group A,group B and group C.Group A:Press with bare hands for 5 minutes+Puncture side lower limb immobilization for 2 hours;Group B:Press with bare hands for 5 minutes+puncture side lower limb immobilization for 6 hours;Group C:Press with bare hands for 10 minutes+puncture side lower limb immobilization for 6 hours.The complications such as oozing blood,hematoma,pseudoaneurysm,arteriovenous fistula,vagus reflex,lower limb thrombosis and lower limb artery ischemia at the puncture site of femoral artery were compared between the three groups.Results There was no significant difference in postoperative complications among the three groups,and patients in group A had less lumbago discomfort than those in group B and group C.Conclusion After cerebral angiography,the strategy of 5 minutes hand compression and 2 hours lower limb immobilization on the side of puncture may be safe,reduce the discomfort of patients with low back pain and improve work efficiency.
作者
贺国华
王振
HE Guohua;WANG Zhen(Department of Neurology,Nanhua University affiliated Changsha Central Hospital,Changsha Hunan 410018,China)
出处
《临床研究》
2021年第7期31-33,共3页
Clinical Research
基金
湖南省卫生健康委科研计划项目(20201939)。
关键词
股动脉穿刺
并发症
脑血管造影
股动脉压迫
下肢制动
femoral artery puncture
complication
cerebral angiography
femoral artery compression
lower limb immobilization
作者简介
贺国华(1977-),男,汉族,湖南衡南人,主任医师,硕士研究生。研究方向:脑血管病及癫痫。
