| 杨 骏,杨 谦,刘 倩,郭生龙,李 伟.脑血管介入术后穿刺血管局部血管闭合器的应用效果及安全性[J].,2018,(22):4281-4284 |
| 脑血管介入术后穿刺血管局部血管闭合器的应用效果及安全性 |
| Application Effect and Safety of Cerebral Vascular Intervention after Puncture Vascular Local Vascular Closed |
| 投稿时间：2018-04-25 修订日期：2018-05-21 |
| DOI：10.13241/j.cnki.pmb.2018.22.018 |
| 中文关键词: 脑血管介入术 血管闭合器 应用效果 安全性 |
| 英文关键词: Cerebrovascular intervention Vascular closure device Application effect Security |
| 基金项目:陕西省自然科学基金项目(2014JM4162) |
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| 中文摘要: |
| 摘要 目的：分析脑血管介入术后穿刺血管局部血管闭合器的应用效果及安全性。方法：回顾性分析2016年5月~2017年12月我院收治的80例颅内动脉瘤患者资料，按不同止血方式分为43例对照组和37例研究组。对照组予以手动压迫止血，研究组予以血管闭合器止血。比较两组操作成功率，血管创口处理时间，止血时间，制动时间，住院时间，血管内径，血流速度，应激反应，Kolcaba舒适量表评分，并发症发生情况。结果：对照组和研究组操作成功率分别为97.30%（36/37）和100.00%（43/43），两组比较无差异（P>0.05）。研究组血管创口处理时间、止血时间、制动时间和住院时间均低于对照组，比较有统计学差异（P<0.05）。术前，两组血管内径及血流速度比较无差异（P>0.05）；术后，对照组血管内径无明显改变（P>0.05），研究组血管内径低于对照组（P<0.05），两组血流速度均下降，研究组下降更明显，比较有统计学差异（P<0.05）。术后，两组皮质醇、血糖均上升，组间比较无差异（P>0.05）。研究组并发症发生率低于对照组（P<0.05）。结论：脑血管介入术后穿刺血管局部血管闭合器能够达到和传统手术压迫相似的应用效果，且并发症更少，安全性更高，值得推广。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the application effect and safety of cerebral vascular intervention after puncture vascular local vascular closed. Methods: A retrospective analysis 80 cases of intracranial aneurysm patients who received therapy from May 2016 to December 2017 in our hospital, according to different hemostatic methods, those patients were divided into 43 cases in the control group and 37 cases in research group. Control group was subjected to manual compression and hemostasis, research group to local vascular closed to stop bleeding. operation success rate, blood vessel wound processing time, the bleeding time, braking time, length of hospital stay, blood vessel diameter, blood velocity, stress reaction, Kolcaba comfortable rating scale, the complications occurrence between two group was compared. Results: The operation success rate in control group and research group was 97.30% (36/37) and 100.00% (43/43), there was a statistical difference(P<0.05). Treatment time, hemostasis time, braking time and hospitalization time in research group all lower than those in the control group (P<0.05). Before surgery, blood vessel diameter and blood flow rate between the two groups was no difference (P>0.05). After surgery, the blood vessel diameter in the control group was no significant changes (P>0.05), blood vessel diameter in research group was lower than the control group (P<0.05). After surgery, cortisol and blood glucose in two group was increased, and there was no difference between the groups (P>0.05). Complication rate in research group was lower than the control group (P<0.05). Conclusion: Local vascular closed can achieve the same effect as traditional surgical compression, with less complications, higher safety and worth promoting. |
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