ObjectiveTo evaluate the effects of the pressure dressing of modified spinning radial artery hemostatic device on postoperative hemostasis and comfort after coronary intervention.
MethodsOne hundred and eighty patients treated with coronary arteriography or interventional therapy through transdermal puncture of radial artery were randomly divided into the gauze bandage pressuring group(group A), spinning tourniquet group(group B) and modified spinning tourniquet pressuring group(group C).The efficacy of hemostasis and comfort in three groups were observed.
ResultsThe differences of the one-time success rate of puncture of radial artery and percutaneous coronary intervention rate among three groups were not statistically significant(P>0.05).The postoperative bleeding rates in group A, group B and group C gradually decreased(P < 0.01 and P < 0.05).The postoperative wrist circumference in group A and group B were greater than that in group C(P < 0.01).The oxyhemoglobin saturation in group A and group C was greater than that in group B(P < 0.01), and the difference of which between group A and group C was not statistically significant(P>0.05).The differences of the postoperative bruising rate, small mass rate, skin lesion rate and radial artery occlusion rate among three groups were statistically significant(P < 0.05 to P < 0.01), and the differences of large mass rate among three groups were not statistically significant(P>0.05).The bruising rate in group A was higher than that in group B and group C.The small mass rate in group A was higher than that in group B.The skin lesion rates in group A and group C were lower than that in group C and group B, respectively.The radial artery occlusion rate in group A was lower than that in group B(P < 0.05 to P < 0.01).
ConclusionsThe modified spinning tourniquet pressuring of radial artery can effectively stop bleeding, decrease complication, and improve the comfort of patients.
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