高龄急性冠脉综合征经皮冠状动脉介入治疗临床体会  

Elderly Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Clinical Experience

作　　者：容志毅[1] 庞紫君 

机构地区：[1]湖南省马王堆医院,湖南长沙410016

出　　处：《中外医学研究》2014年第24期1-3,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析研究对高龄急性冠脉综合征患者给予经皮冠状动脉介入治疗的最佳方法,为提高冠脉综合征的治疗效果及安全性提供参考。方法:选择2011年8月-2014年1月高龄急性冠脉综合征患者共82例为研究对象,随机分为两组,两组均使用经皮冠状动脉介入治疗。桡动脉组患者给予桡动脉路径,股动脉组患者给予股动脉路径,对比观察两组治疗效果和安全性。结果:两组患者手术成功率、手术时间、X线曝光时间比较,差异无统计学意义(P>0.05);其中桡动脉组患者的手术中出血量少,患者术后并发症发生率较低,与股动脉组比较,差异有统计学意义(P<0.05)。结论:对高龄急性冠脉综合征的患者给予经皮冠状动脉介入治疗的效果较好,其中桡动脉途径安全有效,可以作为介入治疗的首选方法。Objective：To analyze the best treatment of percutaneous coronary intervention for elderly patients with acute coronary syndrome,and provide reference for improving therapeutic efficacy and safety of coronary syndrome.Method：82 cases elderly patients with acute coronary syndrome from August 2011 to January 2014 were selected for the study,they were randomly divided into two groups,both groups use of percutaneous coronary intervention.Radial artery group was given the radial artery path,femoral artery group was treated with femoral artery route,the treatment efficacy and safety were observed and compared. Result：The successful rate,operative time,X-ray exposure time were not significantly different contrast in two groups,the differences were not statistically significant（P〉0.05）,the radial artery group of patients was less blood loss and postoperative complication rate compared with the femoral artery,the difference was statistically significant（P〈0.05）.Conclusion：The effect of percutaneous coronary intervention is better for elderly patients with acute coronary syndrome,which transradial approach is safe and effective intervention can be used as the preferred method of treatment.

关 键 词：急性冠脉综合征 高龄 经皮冠状动脉介入 桡动脉 股动脉 

分 类 号：R541.4[医药卫生—心血管疾病]