急性心肌梗死患者经桡动脉行急诊介入治疗的临床分析  

A Study on Transradial Artery Access for Primary Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

作　　者：张先林[1] 王岳松[1] 章萍[1] 邵旭武[1] 王学忠[1] 董学滨[1] 

机构地区：[1]安徽省马鞍山市人民医院心内科,243000

出　　处：《中华全科医学》2013年第12期1875-1876,共2页Chinese Journal of General Practice

摘　　要：目的观察经桡动脉对急性心肌梗死患者行急诊介入治疗(PCI)的可行性和安全性。方法回顾性分析2008年1月-2013年4月行急诊介入治疗(PCI)的98例急性心肌梗死患者的临床资料,其中经桡动脉途径58例(观察组),经股动脉途径40例(对照组),对比两组的PCI特点、手术并发症、患者依从性及住院时间等。结果两组穿刺成功率、手术成功率均为100%,X线曝光时间、射线量、造影剂用量观察组略高于或多于对照组,但两组比较差异无统计学意义(P>0.05)。手术并发症(如假性动脉瘤、拔管时迷走反射、尿潴留)、卧床时间及住院时间观察组明显低于对照组(P<0.05),且观察组患者依从性较高。结论经桡动脉对急性心肌梗死患者行急诊介入治疗(PCI)安全可行,手术并发症少,值得临床推广应用。Objective To study the feasibility, safety of percutaneous coronary intervention （PCI） via transradial artery approach in patients with acute myocardial infarction（AMI）. Methods The clinical data of 98 cases of AMI undergoing PCI January 2008 to April 2013 were retrospectively analyzed. In which 58 patients（ observation group） underwent PCI via radial artery pathway ,40 cases（ control group） via femoral artery approach. PCI characteristics, surgical complications, patient compliance and hospitalization time were compared between the two groups. Results The success rate of puncture and operation was 100% in both groups. X-ray exposure time, radiation dose, amount of contrast agent in observation group was slightly higher or more than those in the control group, but there was no statistical significance（ P 〉 0.05 ） between the two groups. The incidence of surgical complications （such as false aneurysm, vagus reflex during extubation, urinary retention） , time of bed rest and hospitalization time in the observation group was significantly lower than those in the control group （P 〈 0.05 ） , and the patients compliance of the ob- servation group of was higher as compared to the control group. Conclusion PCI via transradial artery approach is safe and feasible for patients with AMI. The incidence of surgical complications is low and worthy of clinical popularization and application.

关 键 词：急性心肌梗死 桡动脉 股动脉 介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病] R543.5[医药卫生—内科学]