经桡动脉和经股动脉途径行冠状动脉造影的对比分析  

Comparison between transradial with transfemoral approach coronary angiography

作　　者：吴玲玉[1] 邱原刚[2] 

机构地区：[1]浙江省安吉县第三人民医院心内科,313301 [2]浙江大学医学院附属第一医院心内科

出　　处：《中国医师进修杂志（内科版）》2006年第5期26-28,共3页Chinese Journal of Postgraduates of Medicine

基　　金：浙江省科技攻关基金资助项目(2004C33025);浙江省教育厅基金资助项目(20020825)

摘　　要：目的比较经桡动脉和经股动脉途径行冠状动脉造影的优缺点。方法同期158例临床疑诊冠心病拟行冠状动脉造影术的患者,随机分成经桡动脉组(51例)和经股动脉组(107例),对比观察其穿刺成功率、手术操作时间、X线曝光时间、术后住院天数和并发症的发生率,并进行统计学处理。结果桡动脉组的平均X线曝光时间、穿刺成功率分别为(5.97±4.52)min和96.08%,经股动脉组为(4.72±4.16)min和100%,两组比较差异无统计学意义(P>0.05);经桡动脉组的术后住院天数为(3.06±1.42)d,少于经股动脉组(4.97±3.07)d,P<0.01;两组局部血肿发生率分别为0和7.48%,差异有统计学意义,P<0.05;手术操作时间分别为(30.72±14.07)min和(24.96±9.62)min,两组比较差异有统计学意义,P<0.05;经桡动脉组动脉痉挛发生率为8.16%,经股动脉组无动脉痉挛发生,两组比较差异有统计学意义,P<0.05。结论经桡动脉径路行冠状动脉造影是安全有效的方法。具有止血容易、不需卧床、痛苦小、并发症少和住院时间短的优点,患者更易接受。Objective To compare the advantages and disadvantages of coronary angiography via radial and femoral artery. Methods One hundred and fifty- eight cases of suspected coronary artery disease were randomized into 2 groups by the artery approaches, radial （51 cases） or femoral （ 107 cases）. Success rate, operating time, X- ray irradiation time, hospitalized day after operation, and complications were observed. Results X - ray irradiation time and the success rate in transradial approach group were similar to those in transfemoral approach group [ （5.97 ± 4.52）minutes vs （4.72 ± 4.16） minutes and 96.08% vs 100%, P 〉0.05], the hospitalized day after operation and the rate of local hematoma in transradial approach group were markedly lower than those in transfemoral approach group [（3.06± 1.42] days vs （4.97±3.07） days and 0 vs 7.48% ,P〈0.05], and the operating time and the rate of artery spasm in transradial approach group were higher than those in transfemoral approach group [（30.72±14.07）minutesvs （24. 96 ± 9. 62）minutes and 8.16% vs0,P〈0.05]. Conclusion Transradial approach for coronary artery angiography is a safe and effective approach. The patient need not be confined to bed, with rapid hemostasis, less pain, lower complications, shorter hospitalized time and easy acceptance.

关 键 词：桡动脉 股动脉 冠状动脉造影术 

分 类 号：R541.4[医药卫生—心血管疾病] R816.2[医药卫生—内科学]