摘要
探讨脑血管造影术后股动脉“砝码”加压包扎的临床应用效果。回顾性分析130例经股动脉穿刺行脑血管造影患者的临床资料,根据股动脉穿刺点压迫止血方式分对照组(n=65,采用常规股动脉压迫止血)和试验组(n=65,采用股动脉“砝码”加压包扎止血),比较两组止血效果、并发症发生率、术后疼痛程度[疼痛数字评价量表(NRS)]及舒适度[Kolcaba舒适度量表(GCQ)]。结果显示,两组术后24 h止血成功率与并发症发生率差异均无统计学意义(P>0.05);试验组术后8 h NRS评分显著低于对照组(P<0.05);两组术后24 h NRS评分和GCQ评分差异均无统计学意义(P>0.05);试验组住院耗材费用显著低于对照组(P<0.05)。研究发现,脑血管造影术后股动脉“砝码”加压包扎具有与传统止血方法相当的疗效和安全性,在减轻早期疼痛和降低医疗成本方面更具优势。
To explore the clinical application effect of femoral artery"weight"compression dressing for hemostasis after cerebral angiography.A retrospective analysis was performed on the clinical data of 130 patients who underwent cerebral angiography via femoral artery puncture.According to the hemostasis method at the femoral artery puncture site,they were divided into the control group(n=65,conventional femoral artery compression hemostasis)and the experimental group(n=65,femoral artery"weight"compression dressing hemostasis).The hemostatic effect,complication rate,postoperative pain degree[Numeric Rating Scale(NRS)],and comfort[Kolcaba Comfort Questionnaire(GCQ)]were compared between the two groups.The results showed that there was no significant difference in hemostasis success rate and complication rate between the two groups at 24 hours postoperation(P>0.05).The NRS score of the experimental group at 8 hours postoperation was significantly lower than that of the control group(P<0.05).There was no significant difference in NRS score and GCQ score between the two groups at 24 hours postoperation(P>0.05).The hospitalization consumable cost of the experimental group was significantly lower than that of the control group(P<0.05).It is concluded that the femoral artery"weight"compression dressing after cerebral angiography has comparable efficacy and safety to the traditional hemostasis method,and has more advantages in reducing early pain and lowering medical costs.
作者
韦祖光
罗均
姜雄
陈军
吴飚
Wei Zuguang;Luo Jun;Jiang Xiong;Chen Jun;Wu Biao(Zunyi Hospital of Traditional Chinese Medicine,Zunyi,Guizhou 563000)
出处
《中外健康》
2025年第5期169-172,共4页
World Health
基金
中国医药教育协会孙思邈中医药科研专项课题(2016SKT-M028)
遵义市临床重点专科建设项目(遵市卫健函〔2022〕208号)。
关键词
脑血管造影
股动脉穿刺
“砝码”加压包扎
临床应用效果
cerebral angiography
femoral artery puncture
"Weight"compression dressing
clinical application effect
作者简介
韦祖光(1998-),男,本科,住院医师,研究方向为中医全科;通信作者:姜雄(1991-),男,硕士,副主任医师,研究方向为中西医结合防治脑血管疾病及神经介入。
