Therapeutic Effect Of Bandage Hemostasis On Radial Artery Puncture Point After Coronary Intervention

Objective To observe the hemostatic effect of improved bandage hemostasis and balloon hemostasis in the treatment of radial artery puncture point after coronary angiography or percutaneous coronary intervention(PCI).To determine whether the improved bandage hemostasis method can be used as one of the most economical and effective methods to stop bleeding at the radial artery puncture point after percutaneous coronary intervention.Methods From December 2019 to November 2020,1000 patients who needed percutaneous radial artery coronary angiography or coronary intervention were selected according to the inclusion and exclusion criteria,and were randomly divided into two groups according to the ratio of 1: 1,which were bandage hemostasis group(500 cases)and balloon radial artery compressor hemostasis group(500 cases).Observation effect indicators: bleeding at puncture site,local vascular complications(ecchymosis,hematoma,palm swelling degree),radial artery occlusion,patient comfort.The collected data were analyzed by SPSS22.0 software.Results 1.There is no difference between the experimental group and the control group in basic information such as age,sex,weight,height,body mass index(BMI),previous medical history such as hypertension,diabetes,hyperlipidemia,family genetic history of coronary heart disease,stroke,smoking history,hospitalization condition such as stable angina pectoris or acute coronary syndrome,operation condition such as simple coronary angiography or percutaneous coronary intervention and operation time,which proves that the two groups have good comparability.2.There was no significant difference between the experimental group and the control group in the number of new bleeding cases immediately after operation,within 2 hours,2-4 hours and 4-8 hours after operation.3.In terms of local complications,the probability of ecchymosis and hematoma in the right radial artery puncture site of the control group was higher than that of the experimental group,and the swelling degree of the right palm of the control group was higher than that of the experimental group.4.There was no significant difference between the experimental group and the control group in evaluating the incidence of radial artery occlusion in short-term(24 hours)and long-term(1 month after operation).5.There is no difference in pain degree of right arm between experimental group and control group at 2h and 12 h after operation,but there is difference in pain degree of right arm at 8h after operation.Most patients in experimental group have mild pain,while most patients in control group have moderate pain.In addition,the nursing workload of the experimental group is obviously lower than that of the control group,and the economic benefits of the experimental group have obvious advantages.Conclusion In this study,the improved bandage hemostatic method is not inferior to the balloon radial artery hemostatic device in hemostatic effect and radial artery occlusion rate,but has more advantages in local vascular complications such as ecchymosis,hematoma,palm swelling and patient comfort.In addition,the improved bandage hemostasis method can reduce the burden of nursing work and is more cost-effective than balloon radial artery hemostat.