The effect of radial artery hemostat continuous compression time in patients undergoing transradial percutaneous coronary intervention
10.3760/cma.j.issn.1672-7088.2018.27.008
- VernacularTitle:桡动脉止血器持续使用时间对经桡动脉行冠状动脉介入治疗患者的影响
- Author:
Jingwen HU
1
;
Meili LIU
;
Xiaojun BAI
;
Huiqin RUAN
Author Information
1. 710061,西安交通大学第一附属医院心内科
- Keywords:
Radial artery hemostat;
Coronary artery interventional therapy
- From:
Chinese Journal of Practical Nursing
2018;34(27):2116-2119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of radial artery hemostat (TR Band) continuous compression time on bleeding of puncture point, thumb perception, palm swelling and subjective comfort in patients undergoing transradial percutaneous coronary intervention. Methods One hundred and fifty-five patients who underwent transradial percutaneous coronary intervention were randomly divided into two observation groups and a control group. All patients in the three groups were treated by TR Band patent hemostasis. All three groups received the consistent deflation schedule, except the TR Band was removed at the 12th hour post operation in the control group, and at the 6th hour in the 1st observation group and at the 4th hour in the 2nd observation group. Postoperative bleeding of puncture point, thumb perception, palm swelling and subjective comfort were observed in the three groups. Results The differences of postoperative bleeding of puncture point, thumb perception, palm swelling and subjective comfort among the three groups were statistically significant (χ2=6.31, P<0.05; F=5.26, 4.00, 14.69, P<0.01). In the 2nd observation group, palm swelling was the lowest, but perception, and comfort and bleeding rate is the highest among the three groups. In the 1st observation group, the overall indexes were medium among the three groups. Conclusions The optimal compression duration of TR Band post transradial percutaneous coronary intervention is 6 h, which does not increase the risk of bleeding, but also significantly improve local swelling and perceptual experience, and increase patient comfort.
