ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (3): 331-337.doi: 10.3761/j.issn.2096-7446.2026.03.015

• 质量与安全 • 上一篇    下一篇

冠状动脉介入诊疗术后2小时拆除桡动脉止血器的可行性研究

张小勤1(), 潘佩珍2, 吴配文1, 陆兰1, 刘裕1, 黄俊雅1, 严凤娇3,*()   

  1. 1 中山大学附属第一医院心内三科 广州市 510080
    2 中山大学附属第一医院心儿科 广州市 510080
    3 中山大学附属第一医院心血管医学部 广州市 510080
  • 收稿日期:2025-04-13 出版日期:2026-03-10 发布日期:2026-03-02
  • 通讯作者: 严凤娇 E-mail:qin7755670@163.com;yanfj@mail.sysu.edu.cn
  • 作者简介:张小勤：女，硕士，主管护师，护士长，E-mail：qin7755670@163.com
  • 基金资助:
    中山大学附属第一医院首届柯麟护理人才培育计划(KLHL2023BB09)

Feasibility study on the application of removing radial artery hemostatic device 2 hours after coronary intervention

ZHANG Xiaoqin1(), PAN Peizhen2, WU Peiwen1, LU Lan1, LIU Yu1, HUANG Junya1, YAN Fengjiao3,*()   

  1. 1 Cardiology Unit 3， the First Affiliated Hospital，Sun Yat-sen University， Guangzhou 510080， China
    2 Pediatric Cardiology， the First Affiliated Hospital，Sun Yat-sen University， Guangzhou 510080， China
    3 Department of Cardio-vascular Medicine， the First Affiliated Hospital，Sun Yat-sen University， Guangzhou 510080， China
  • Received:2025-04-13 Online:2026-03-10 Published:2026-03-02
  • Contact: YAN Fengjiao E-mail:qin7755670@163.com;yanfj@mail.sysu.edu.cn
  • Supported by:
    The First Kelin Nursing Talent Cultivation Plan of the Affiliated Hospital，Sun Yat-sen University(KLHL2023BB09)

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摘要：

目的 探讨术后2 h拆除桡动脉止血器在冠状动脉介入诊疗术患者中的可行性。方法 选择2024年1月—11月在广州市某三级甲等医院心内科行经桡动脉冠状动脉介入诊疗的患者，使用随机数字表法分为试验组和对照组，试验组采用术后2 h拆除止血器方案，对照组采用术后6 h拆除止血器方案。比较两组桡动脉闭塞发生率、手掌肿胀程度、疼痛评分和穿刺部位出血情况。结果 最终对照组纳入407例，试验组404例。两组桡动脉闭塞发生率差异无统计学意义（0.5%与0.7%，P>0.05）。试验组术后2、4、6及12 h的手掌肿胀程度和疼痛评分均低于对照组（P<0.05）。两组术后出血情况比较，差异无统计学意义（2.2%与4.5%，P=0.150）。结论 与术后6 h拆除桡动脉止血器比较，术后2 h拆除桡动脉止血器未增加患者桡动脉闭塞的发生率和穿刺部位的出血风险，可降低术后手掌肿胀和疼痛的程度，提升患者的舒适度。

关键词: 经桡动脉入路, 冠状动脉造影, 经皮冠状动脉介入治疗, 桡动脉闭塞, 止血器

Abstract:

Objective To explore the feasibility of removal of radial artery hemostatic device 2 hours after the procedure in patients undergoing coronary intervention.Methods Patients who underwent transradial coronary intervention in the Department of Cardiology of a tertiary hospital in Guangzhou，Guangdong Province from January to November 2024 were randomly divided into control group and experimental group by random number table method. The control group adopted the protocol of removing the hemostatic device 2 hours post-procedure，and the experimental group was treated with the protocol of removing the hemostatic device 6 hours post-procedure. The radial artery occlusion，palm swelling，pain score and bleeding at the puncture site were compared between the two groups.Results There was no difference in the incidence of radial artery occlusion between the two groups（0.5% VS 0.7%，P>0.05）. The palm swelling degree and pain score of the experimental group were significantly lower than those of the control group at 2 hours，4 hours，6 hours and 12 hours after the procedure（P<0.05）. There was no difference in bleeding between the two groups（2.2% VS 4.5%，P=0.150）.Conclusion Compared with removing the hemostatic device 6 hours after the procedure，the removal of the hemostatic device 2 hours after the procedure did not increase the risk of bleeding at the puncture site，but it could significantly reduce the degree of swelling and pain in the palm after the procedure and improve the comfort of patients.

Key words: Transradial Artery Acces, Coronary Angiography, Percutaneous Coronary Intervention, Radial Artery Occlusion, Hemostatic Device