自制静脉压迫器在肝功能衰竭患者股静脉置管拔除后的应用

摘要

Objective To explore the effect of self-made venous compressor on hemostasis after withdrawing femoral vein catheter in patients with liver failure.Methods 200 patients with liver failure undergoing femoral venous intubation were divided randomly into observation group and control group in equal number.Hemostasis was performed after withdrawing the catheter using the self-made venous compressor and bandage combined with pressure dressing in the former and latter group respectively.The two groups were compared in terms of the complication rate,time for hemostasis manipulation and time limb immobilization.Results The rate of complications in the observation group was significantly lower than that of the control group.The time for hemostasis manipulation and time for limb immobilization in the observation group were both significantly shorter than those of the control group(P<0.01). Conclusion Performance of hemostasis using self-made venous compressor may lower the rate of complication from withdrawing femoral vein catheter and shorten the time for hemostasis manipulation and the time for limb immobilization.%　　目的探讨自制静脉压迫器在肝功能衰竭患者股静脉置管拔除后的应用效果。方法将行股静脉置管的200例肝功能衰竭患者患者随机分为观察组和对照组，每组100例。观察组股静脉置管拔管后采用自制静脉压迫器压迫止血；对照组采用压球按压加绷带加压包扎止血。比较两组患者静脉穿刺处并发症发生、压迫止血操作时间、肢体制动时间的差异。结果观察组患者静脉穿刺处并发症发生率低于对照组；压迫止血操作时间、肢体制动时间短于对照组，两组比较，均P<0.01，差异具有统计学意义。结论股静脉拔除后采用自制静脉压迫止血器止血，可降低出血并发症发生，止血时间和肢体制动时间缩短，值得临床推广使用。