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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
100853, 北京市复兴路28号
电话:010-66936756
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E-mail: zhlndqg@mode301.cn
创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
黄亚,农京国,薛桥,张玉霄,冯全洲,卢才义,陈韵岱.8字缝合技术处理股动脉穿刺隧道渗血的临床研究[J].中华老年多器官疾病杂志,2018,17(4):283~286
8字缝合技术处理股动脉穿刺隧道渗血的临床研究
Efficacy of figure 8 suturing technique in treatment of tunnel bleeding after femoral artery puncture
投稿时间:2018-01-08  修订日期:2018-02-10
DOI:10.11915/j.issn.1671-5403.2018.04.061
中文关键词:  股动脉穿刺;隧道渗血;“8”字缝合;深静脉血栓
英文关键词:femoral artery puncture; tunnel bleeding; figure 8 suturing technique; deep vein thrombosis
基金项目:
作者单位E-mail
黄亚 解放军总医院心血管内科,北京,100853 huangya365@126.com 
农京国 解放军总医院心血管内科,北京,100853  
薛桥 解放军总医院心血管内科,北京,100853  
张玉霄 解放军总医院心血管内科,北京,100853  
冯全洲 解放军总医院心血管内科,北京,100853  
卢才义 解放军总医院心血管内科,北京,100853  
陈韵岱 解放军总医院心血管内科,北京,100853  
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中文摘要:
      目的 评估8字缝合技术在处理股动脉穿刺点隧道渗血中的作用。方法 连续纳入解放军总医院心血管内科行股动脉穿刺介入诊治术后出现穿刺隧道渗血现象的患者152例,随机分为2个处理组:8字缝合组(63例)和加压包扎组(89例),比较2组5个指标的差异,包括平均压迫时间、包扎次数、平均操作时间、下肢静脉血栓发生率及术后平均住院时间。使用SPSS 22.0统计软件处理,依据数据类型分别采用成组t检验或卡方检验进行组间比较。结果 8字缝合组的5项指标均优于加压包扎组:平均压迫时间(22.3±5.4) vs(26.8±6.8)h、包扎次数(2.1±0.7) vs (2.6±1.1)次、平均操作时间(8.9±2.5) vs (12.3±4.1)min、下肢深静脉血栓发生率0.0% vs 6.7%、平均术后住院时间(3.5±1.2) vs (4.8±2.1)d,且差异具有统计学意义(P<0.05)。结论 8字缝合技术处理股动脉穿刺隧道渗血简单有效,明显优于传统加压包扎的处理方法。
英文摘要:
      Objective To evaluate the efficacy of figure 8 suturing technique in treatment of tunnel bleeding after femoral artery puncture. Methods A total of 152 patients, who had undergone transfemoral percutaneous coronary intervention and then developed bleeding after catheter insertion, admitted in our department from December 2013 to December 2016 were enrolled in the study consecutively. These patients were assigned randomly into figure 8 suturing group (n=63) and strengthened compression group (n=89). Five parameters, including mean compression time, bandaging frequency, mean operation time, incidence rate of lower limb deep vein thrombosis (DVT), and length of hospital stay after operation, were compared between the 2 groups. SPSS statistics 22.0 was used to perform the statistical analysis, and Student′s t test or Chi-square test was employed to make comparison for different data types. Results Compared to the strengthened compression group, the figure 8 suturing group had shorter compression time [(22.3±5.4) vs (26.8±6.8)h, P<0.01], less bandaging frequency [(2.1±0.7) vs (2.6±1.1)times, P<0.01], shorter operation time [(8.9±2.5) vs (12.3±4.1)min, P<0.01], lower incidence rate of DVT (0.0% vs 6.7%, P<0.05), and shorter length of hospital stay[(3.5±1.2) vs (4.8±2.1)d, P<0.01]. Conclusion Figure 8 suturing technique is effective and easy-to-operate in treatment of tunnel bleeding after femoral artery puncture, and obviously superior to conventional compression method.
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