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多功能脉搏波血压计联合恒温冰敷在冠状动脉介入术后前臂血肿患者中的应用

Application of multifunctional pulse wave sphygmomanometer combined with constant temperature ice in patients with forearm hematoma after coronary intervention.

作者信息

Qiao Jimin, Shi Yihang, Li Kai, Zhu Xiaomin, Wang Zhimei

机构信息

Department of Emergency, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

出版信息

BMC Cardiovasc Disord. 2025 Jan 7;25(1):8. doi: 10.1186/s12872-024-04432-7.

Abstract

AIM

This study aims to investigate the effects of combining a multifunctional pulse wave sphygmomanometer with constant temperature ice on patients with forearm hematoma following coronary intervention.

METHODS

Patients who developed forearm hematoma after undergoing coronary intervention from March 2021 to March 2023 at our hospital were selected as the study cohort. Using a random number table, they were divided into two groups the control group and the research group. The control group received cuff compression treatment using a multifunctional pulse wave sphygmomanometer. The primary endpoint was the effective rate of one compression. Secondary endpoints included body surface temperature, pain, comfort, arm measurements, and swelling value.

RESULTS

A total of 190 patients were included, with 95 in the control group and 95 in the research group. The research group showed a significantly higher effective rate of one compression compared to the control group (87.2% vs. 95.8%, p = 0.035). Additionally, the research group experienced significantly reduced pain (2.0 [2.0,3.0] vs. 1.0 [1.0,2.0], p < 0.001) and improved comfort levels. This approach also effectively reduced body surface temperature (32.91 ± 0.83℃ vs. 12.09 ± 1.09℃, p < 0.001), arm measurements (274.32 ± 9.56 mm vs. 271.15 ± 8.82 mm, p = 0.019), and swelling value (12.40 ± 1.95 vs. 11.07 ± 2.13, p < 0.001) after compression.

CONCLUSIONS

The combined use of a multifunctional pulse wave sphygmomanometer for cuff compression on forearm hematoma with simultaneous constant temperature ice application demonstrated more benefits. This approach effectively reduced pain, improved comfort levels, and enhanced compression-based hemostasis and reduction of swelling.

TRIAL REGISTRATION

Ethics No.KY20210604-02-KS-01.

摘要

目的

本研究旨在探讨多功能脉搏波血压计联合恒温冰敷对冠状动脉介入术后前臂血肿患者的影响。

方法

选取2021年3月至2023年3月在我院接受冠状动脉介入治疗后出现前臂血肿的患者作为研究队列。采用随机数字表法将他们分为两组,即对照组和研究组。对照组使用多功能脉搏波血压计进行袖带压迫治疗。主要终点是一次压迫的有效率。次要终点包括体表温度、疼痛、舒适度、手臂测量值和肿胀值。

结果

共纳入190例患者,其中对照组95例,研究组95例。研究组一次压迫的有效率显著高于对照组(87.2%对95.8%,p = 0.035)。此外,研究组疼痛明显减轻(2.0[2.0,3.0]对1.0[1.0,2.0],p < 0.001),舒适度提高。这种方法还能有效降低压迫后的体表温度(32.91±0.83℃对12.09±1.09℃,p < 0.001)、手臂测量值(274.32±9.56mm对271.15±8.82mm,p = 0.019)和肿胀值(12.40±1.95对11.07±2.13,p < 0.001)。

结论

多功能脉搏波血压计用于前臂血肿袖带压迫并同时应用恒温冰敷显示出更多益处。这种方法有效减轻了疼痛,提高了舒适度,并增强了基于压迫的止血和消肿效果。

试验注册

伦理编号:KY20210604 - 02 - KS - 01。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0073/11706164/118f93dbc1a0/12872_2024_4432_Fig1_HTML.jpg

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