吕学祥,金志刚,何望安,许应杰

• 1:华润武钢总医院心内科

摘要(Abstract)：

目的观察经桡动脉入径行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者急性桡动脉闭塞(radial artery occlusion,RAO)的发生率,并探讨脉搏血氧仪监测在桡动脉压迫止血中的作用。方法选择2013年3月至2014年8月于华润武钢总医院心内科病房经桡动脉入径行PCI的患者502例,将术后常规使用桡动脉压迫器加压止血患者作为常规组(250例),在桡动脉压迫止血同时使用脉搏血氧仪监测血氧饱和度患者作为监测组(252例)。所有患者72 h内通过多普勒超声确诊有无RAO。结果所有患者中经超声检测证实发生急性RAO14例(2.8%),其中常规组13例(5.2%),监测组1例(0.4%),差异有统计学意义(P<0.01)。监测组中2例提前将桡动脉压迫器中气囊减压放气时,穿刺处出血,再次加压后脉搏血氧仪监测显示动脉血氧饱和度低下(<95%),退出监测组,进行直接纱布加压包扎止血,术后经超声检测未发生急性RAO。结论使用脉搏血氧仪监测下的压迫止血方法能显著降低RAO的发生率。

关键词(KeyWords)： 脉搏血氧仪;经皮冠状动脉介入治疗;经桡动脉;桡动脉闭塞

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 吕学祥,金志刚,何望安,许应杰

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