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

doi:10.3761/j.issn.2096-7446.2026.03.015

Abstract

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

ZHANG Xiaoqin, PAN Peizhen, WU Peiwen, LU Lan, LIU Yu, HUANG Junya, YAN Fengjiao. Feasibility study on the application of removing radial artery hemostatic device 2 hours after coronary intervention[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 331-337.

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References 25

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

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