手工压迫、血管压迫器和血管缝合器三种止血方式用于脑血管介入的随机对照研究

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Abstract [Abstract]Objective To investigate the clinical effect of three kinds of hemostasis Methods of manual compression,vascular compression device and vascular suturing device in the application of cerebrovascular intervention.Methods A total of 102 patients who underwent the transfemoral intervention therapy from March 2017 to April 2018 in our department were selected as research subjects.According to the medical record number,they were randomly divided into the manual compression group(40 cases,manual compression hemostasis),the vascular compression device group(40 cases,vascular compression device hemostasis)and the vascular suturing device group (22 cases,vascular suturing device hemostasis).The minimum internal diameter of the femoral artery and the peak velocity of the systolic blood flow before operation and 1 day and 3 months after operation were measured at the puncture site and around 3 cm of femoral artery among the three gruops.The thrombosis,arteriovenous fistula and pseudoaneurysm were observed and complications(hematoma,decreasing blood pressure and heart rate)were compared among the three gruops.Results There were no significant differences in the minimum internal diameter of the femoral artery and the peak velocity of the systolic blood flow among the three groups before operation(P>0.05).The minimum internal diameter of the femoral artery at 1 day and 3 months after operation in the vascular suturing device group was significantly smaller than that in the manual compression group and the vascular compression device group,the peak velocity of the systolic blood flow at 1 day and 3 months after operation in the vascular suturing device group was significantly lower than that in the manual compression group and the vascular compression device group,and the differences were statistically significant(P<0.05).No thrombosis,arteriovenous fistula and pseudoaneurysm occurred among the three gruops.The total incidence rate of com-plications in the vascular suturing group was significantly lower than that in the manual compression group and the vascular compression device group,and the difference was statistically significant(P<0.05).The total incidence rate of complications in the vascular compression device group was significantly lower than that in the manual compression group,and the difference was statistically significant(P<0.05).Conclusion The hemostasis of vascular sutures after cerebral vascular femoral artery puncture can reduce the incidence rate of postoperative complications,the patients′comfort is higher,and the onset is rapid,which is worthy of clinical promotion.

Key words： Cerebrovascularintervention Vascularsuturing device Vascularcompression device Manual compression

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