Department of Anesthesiology, The First Affiliated Hospital of Nanchang University, 17 Yong Wai Zheng Street, Nanchang, Jiangxi 330006, China.
Department of Anesthesiology, The Second Affiliated Hospital of Nanchang University, Nanchang University, No. 1, Minde Road, Nanchang City Jiangxi 330008, China.
Dis Markers. 2021 Dec 1;2021:7423101. doi: 10.1155/2021/7423101. eCollection 2021.
To evaluate a new haemostasis method using an ultrasound probe to compress the radial artery and haemostasis under direct vision to replace traditional manual compression of the radial artery.
According to a random number table, 240 patients with gastrointestinal tumours who had undergone arterial puncture were divided into Group A (120 cases) and Group B (120 cases). In Group A, patients were under the guidance of ultrasound to confirm the vascular port, determine the compression position of the ultrasound probe, observe the degree of vascular deformation, and press the radial artery puncture port with pressure to stop bleeding under direct vision. In Group B, traditional manual compression was used. All patients received 5 min of compression for haemostasis, and haemostasis conditions were recorded after compression and 24 hours postoperatively.
The incidence of bleeding, haematoma, and skin ecchymosis at the puncture site after 5 minutes of compression in Group A was lower than that in Group B ( < 0.05). No significant difference was found between the two groups at 24 hours after the operation ( > 0.05).
The method using an ultrasound probe to guide radial artery compression to haemostasis is better than traditional manual compression when applied for compression haemostasis after removing the radial artery catheter.
评估一种新的止血方法，即使用超声探头压迫桡动脉并在直视下止血，以替代传统的桡动脉手动压迫。
根据随机数字表，将 240 例接受过动脉穿刺的胃肠道肿瘤患者分为 A 组（120 例）和 B 组（120 例）。A 组患者在超声引导下确认血管端口，确定超声探头的压迫位置，观察血管变形程度，并在直视下用压力压迫桡动脉穿刺部位止血。B 组采用传统的手动压迫。所有患者均接受 5 分钟的压迫止血，记录压迫后和术后 24 小时的止血情况。
A 组患者在压迫后 5 分钟时的出血、血肿和穿刺部位皮肤瘀斑的发生率低于 B 组（<0.05）。术后 24 小时两组间无明显差异（>0.05）。
与传统的手动压迫相比，在拔除桡动脉导管后进行压迫止血时，使用超声探头引导桡动脉压迫止血的方法更好。
