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|本期目录/Table of Contents|

止血器在经桡动脉冠脉介入诊疗中的应用

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2009年第6期
页码:
817-819
栏目:
临床研究
出版日期:
2009-11-05

文章信息/Info

Title:
Radial artery homeostasis device in transradial coronary intervention
作者:
汝磊生; 齐书英; 孙家安; 杨丽; 彭育红; 谷文平
解放军白求恩国际和平医院心内科,河北 石家庄 050082
Author(s):
RU Lei-sheng;  QI Shu-ying;  SUN Jia-an;  YANG Li;  PENG Yu-hong;  GU Wen-ping
Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang 050082, Hebei, China
关键词:
桡动脉; 冠状动脉介入治疗; 止血
Keywords:
radial artery homeostasis device;  radial artery;  coronary artery intervention
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的: 比较桡动脉穿刺点绷带压迫和止血器压迫方法的效果。方法: 随机将经桡动脉途径行冠脉介入诊疗的患者600例分成绷带组(n=200)和RDP700(800)止血器组(n=400),观察两组患者止血成功率、包扎止血的操作时间、压迫止血的总时间、术后2 d内出血发生率、并发症发生率和出院时间。结果: 止血器组操作时间、压迫时间和术后住院时间均短于绷带组，局部并发症（2 d内出血、皮下淤血和桡动脉闭塞）明显少于绷带组，两组均无严重并发症。结论: 经桡动脉冠脉介入诊疗后应用止血器止血效果安全、可靠，并发症发生率低。
Abstract:
AIM: To evaluate the safety and effect of radial artery homeostasis device “RDP700(800)” after transradial coronary artery intervention. METHODS: Six hundred patients treated with transradial coronary intervention were divided into two groups: RDP700(800) group (400 cases) and bandaging group (200 cases). Homeostasis effect, homeostasis surgical time, homeostasis consumption time, bleeding accident in the first 2 h, complication rate and discharge time were compared between groups. RESULTS: No serious complications were found in either group but the homeostasis surgical time, oppression time and in-hospital days after operation in RDP700(800) group were shorter than those in bandaging group. CONCLUSION: The radial artery homeostasis device RDP700(800) is safe and effective.

参考文献/References

［1］ Agostoni P, Biondi-Zoccai GG. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized trials［J］. J Am Coll Cardiol, 2004, 44(2):349-356.

［2］ 乔树宾,高润霖.经桡动脉进行冠状动脉腔内成形术和支架置入术［J］. 中华心血管病杂志, 2002, 30(增刊):63-64.

［3］ 陈万强,薛成相,张红宾,等.经桡动脉和股动脉途径行冠状动脉造影的对比研究［J］. 医师进修杂志(内科版), 2004, 27(4):26-27.

［4］ Kiemeneij F, Laarman GH, Odekerken D, et al. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study［J］. J Am Coll Cardiol, 1997, 29(5):1269-1275.

［5］ 王钦贤，俞子东，杨伯尧，等. 经桡动脉冠状动脉造影术的临床应用［J］. 心脑血管病防治， 2004， 4（3）：22-24.

［6］ 王静，罗萍，王霞，等. 应用TRBand止血阀对桡动脉穿刺点进行压迫止血的护理观察［J］.中华护理杂志，2006，41（7）：648-649.

［7］ 乔树宾.经桡动脉途径进行冠状动脉腔内成形术和支架植入术［J］. 海南医学， 2002， 13（12）：43-45.

备注/Memo

备注/Memo:
收稿日期：2008-12-23.作者简介：汝磊生，副主任医师，博士Email:rls9377@hotmail.com
更新日期/Last Update: 2009-09-30