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目的比较心血管病患者经皮冠状动脉成形术(PCI)后采用经皮血管闭合装置(per-close)止血与人工压迫止血的安全性和疗效。方法280例心血管病患者在行经皮冠状动脉成形术后,分为人工压迫止血组(145例)和per-close止血组(135例),观察2组止血时间、下床活动时间、术后血管并发症等。结果止血组与人工压迫组相比,止血时间与下床活动时间显著缩短,血管并发症明显减少。应用per-close的成功率达95%。结论此研究显示,PCI术后应用经皮血管闭合装置,是一个快速、有效的止血方法,缩短了止血与下床活动时间,并可减少穿刺点并发症发生率及患者不适感。
Objective To compare the safety and efficacy of per-close hemostasis and manual compression in patients with cardiovascular diseases after percutaneous transluminal coronary angioplasty (PCI). Methods 280 patients with cardiovascular disease underwent percutaneous transluminal coronary angioplasty were divided into artificial hemostasis group (145 cases) and per-close hemostatic group (135 cases). The bleeding time, ambulation time, Vascular complications and so on. Results Compared with the artificial compression group, the time to hemostasis and the time to get out of bed were significantly shorter in the hemostatic group and the vascular complications were significantly reduced. The success rate of applying per-close is 95%. Conclusion This study shows that the application of percutaneous vascular closure device after PCI is a fast and effective method of hemostasis, which can shorten the time of hemostasis and ambulation and reduce the incidence of puncture complications and patient discomfort.