经桡动脉穿刺行冠脉介入治疗1100例临床分析  

CLINICAL ANALYSIS ON DATA ABOUT OVER 1100PER-TGI PCI PATIENTS

作　　者：尹杰[1] 

机构地区：[1]山东省莱芜市人民医院心内科,271100

出　　处：《中国煤炭工业医学杂志》2012年第11期1687-1688,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的分析1 842例经桡动脉(TGI)的治疗患者和部分经股动脉(TFI)二种手术径路对冠脉介入手术和术后并发症的影响。方法选取2008年9月—2011年9月于本科住院行PCI的患者,随机分为TGI组(n=1 121)和TFI组(n=721),详细记录术中和术后的相关资料,并进行统计学分析。结果TGI组患者穿刺部位局部出血、血肿和迷走神经反射的发生率明显低于TFI组患者(P<0.001);其余相关参数和手术成功率二组未见明显差异(P>0.05)。结论经桡动脉行PCI是安全、有效的,能够适应绝大多数PCI的要求,应进一步推广。Objective To research the influence of PCI on transradial and transfemoral intervention path（TGI and TFI） about the operations and postoperation complications according to data about 1842 patients. Methods The inpatients of PCI were selected in author＇s department from Sep. 2008 to Sep. 2011, who were randomly divided to two groups, the TGI group（n = 1121） and the TFI group（n = 721）, the detailed data of operations and complications were recorded. Results The rate of local bleeding and hematoma in the TGI group obviously reduced compared to the TFI group（P〈0. 001）. There were no disparity between the two groups about the rest parameters and operation success rate（P〉0. 05）. Conclusion Transradial PCI is safe and effective, adopts the needs of most PCI. The operation path should generalize farther.

关 键 词：桡动脉 股动脉 经皮冠状动脉介入 并发症 

分 类 号：R654.2[医药卫生—外科学]