两种途径介入治疗急性心肌梗塞疗效分析  

Analysis of Risk Factors in Cerebrovascular Disease Patients and Prevention Methods

作　　者：孙薇[1] 刘蕾[2] 时伟彬 傅春江[3] 孙富荣[4] 

机构地区：[1]第三军医大学大坪医院信息科,重庆400042 [2]第三军医大学大坪医院儿科,重庆400042 [3]第三军医大学大坪医院心血管内科,重庆400042 [4]哈尔滨医科大学,黑龙江哈尔滨150081

出　　处：《现代生物医学进展》2013年第28期5530-5532,5536,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81170230)

摘　　要：目的:探讨对急性心梗患者行不同途径急诊经皮冠状动脉治疗(PCI)的临床疗效及预后。方法:选取我院自2011年1月至2012年12月收治的75例ST段抬高的急性心肌梗死患者作为研究对象进行回顾性调查,对比分析经桡动脉PCI(TRA-PCI)和经股动脉PCI(TFA-PCI)两组治疗疗效及出现并发症情况,包括比较两组穿刺成功率,手术时间,术中出血及术后局部及其他并发症等方面,并作统计分析,取P<0.05为有统计学意义。结果:两组穿刺成功率及PCI手术成功率差异无统计学意义,P>0.05。在手术操作时间上,TFA-PCI组明显长于TRA-PCI组,差异有统计学意义,P<0.05。TFA-PCI组局部并发症发生率为11.8%,远期并发症为2.9%。TRA-PCI组局部并发症发生率为2.4%,远期并发症为7.3%,两组差别显著,P<0.05。结论:TRA-PCI和TFA-PCI在手术时间及术后并发症上有差异,TRA-PCI术中花时间较少,术后局部并发症要轻,值得在临床上推广,但是由于有远期并发症的危险,故术后应加强肝肾功能等的监测。Objective： To provide the diagnosis and treatment foundation of neurosyphilis by their clinical features analysis of mental disorders. Methods： 75 patients with st-elevation acute myocardial infarction in our hospital fxom January 2011 to December 2012 were selected for retrospectively analysis, and we compared the curative effect and complications of PCI via the radial artery （TRA-PCI） and femoral artery PCI （TFA-PCI）, including comparing puncture success rate, operation time, intraoperative bleeding and postoperative local complications, and other aspects, statistical analysis between two groups was made, of which P 〈 0.05 means statistical significance. Results： The puncture success rate and success rate of PCI surgery were similar between the two groups, P 〉 0.05. For the operation time, the average time of TFA-PCI group was significantly longer than that of TRA-PCI group, P〈0.05. The incidence of local complications in TFA-PCI group was 11.8%, the long-term complications was 2.9%, while the incidence of local complications in TRA-PC1 group was 2.4%, and the long-term complications was 7.3%, P〈0.05. Conclusion： TRA-PCI and TFA-PCI had differences in operation time and postoperative complications, TRA-PCI spent less time and got light postoperative local. It is worthy of widespread in clinic. But there is risk of long-term complications, thus monitoring of liver and kidney function should be strengthed after operation.

关 键 词：急性心梗 经桡动脉PCI 经股动脉PCI 并发症 

分 类 号：R542.22[医药卫生—心血管疾病]