注册本刊作者作者投稿查稿
专家远程审稿编辑在线审稿
编务办公专区主编办公专区
下载文档
工作动态
联系方式
发行周期:
月刊
主管单位:
上海市卫生健康委员会
主办单位:
上海市医学会
编辑出版:
《上海医学》编辑部
联系地址:
上海市北京西路1623号
邮编:
200040
电话:
021-62178606
传真:
021-62178606
邮箱:
smasmj@shsma.org.cn
ISSN:
ISSN0253-9934
CN:
CN31-1366/R
收款账号:
1001255309008900719
账户名:
上海市医学会
开户行:
工商银行上海市静安寺支行
友情链接

当前位置：首页 > 过刊浏览->2011年第10期

壳聚糖联合充气止血绷带对桡动脉穿刺点止血的临床研究
Chitosan and tourniquet bandage reduce vascular access bleeding complications after transradial catheterization

浏览(2686) 下载(0)

DOI:
作者:
吴晶心，魏毅东，侯磊，桑提斯，徐亚伟，陆云岚，李伟明
Jingxin Wu, Yidong Wei, Lei Hou, Satish, Yawei Xu,
作者单位:
上海第十人民医院
Shanghai Tenth People’s Hospital, Medical School of Tongji University
关键词:
壳聚糖，桡动脉，压迫止血
Chitosan, radial artery, haemostasis
摘要:
目的 观察壳聚糖止血敷料联合充气止血绷带应用于桡动脉压迫止血的临床效果。方法 将经桡动脉入路实施冠状动脉介入检查和治疗的患者310例，随机分为两组，对照组155例，采用桡动脉充气止血绷带常规方法压迫止血；试验组155例，使用壳聚糖止血辅料联合桡动脉充气止血绷带压迫止血。比较2组患者桡动脉压迫时间和出血并发症等。结果 试验组桡动脉压迫止血时间明显短于对照组，出血并发症发生率均明显小于对照组，均具有统计学意义。结论 壳聚糖止血辅料联合充气止血绷带应用于经桡动脉入路实施冠状动脉介入检查和治疗后穿刺点的压迫止血，它能明显缩短压迫时间，降低并发症发生率，效果安全可靠。
Objective To investigate the safety and efficacy of chitosan combined with a tourniquet bandage of radial artery to reduce the access complication. Methods 310 patients who had undergone TRA (transradial angiography) or TRI (transradial intervention) in our center. Among them, 155 patients in first group were treated with radial compression device (TR-BAND, Terumo) after the procedure. The other 155 patients of the second group were dealt with chitosan combined with the same radial compression device. All patients received aspirin (100mg) and clopidogrel (75mg) at least 3 days. According to the compression time, the safety and efficacy of chitosan combined with a tourniquet bandage were investigated. The access complication of radial artery would be reduced. Result The compression time of the second group was significantly shorter than the first group (P <0.001). There were minor complications in the second group (P <0.05). Conclusion Chitosan combined with a tourniquet bandage of radial artery can obviously shorten the compression time. They also significantly reduce the rate of bleeding and errhyis in the access site.

 

主管单位：上海市卫生健康委员会  主办单位：上海市医学会
©2024《上海医学》编辑部 沪ICP备09078599号
您是本站第26556476名访问者
网站管理