普通J型导丝在桡动脉途径导管输送中的临床应用  

The Clinical Application of Ordinary J Type Guide Wire in the Radial Artery Pathway During Transporting Catheter

作　　者：陈新敬[1] 浦晓东[1] 郭延松[1] 陈诗泉[1] 颜光烈[1] 吴志勇[1] 

机构地区：[1]福建医科大学省立临床学院心内科,福州350001

出　　处：《实用中西医结合临床》2014年第9期6-7,29,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:观察经桡动脉途径使用导丝输送导管进行冠状动脉造影或治疗,与目前首选推荐使用的亲水涂层超滑导丝输送导管相比,探讨普通J型导丝输送导管的近期及远期临床效果。方法:将1 400例行经桡动脉途径输送导管的患者随机平均分为超滑导丝组(n=700)与普通J型导丝组(n=700),对两组患者操作时间、透视时间、射线暴露量、导丝通过成功率、并发症出现例数和9个月后随访桡动脉闭塞率进行比较分析。结果:普通J型导丝组在操作时间、透视时间、射线暴露量和并发症出现例数方面均明显少于超滑导丝组,差异均有统计学意义(P<0.01);导丝通过成功率和桡动脉闭塞率方面两组比较,差异均无统计学意义(P>0.05)。结论:与亲水涂层超滑导丝相比,经桡动脉途径使用普通J型导丝进行导管输送更安全有效,可作为常规首选导丝输送导管。Objective： To observe the short-term and long-term clinical effect of ordinary J type guide wire during transportation catheter in trans-radial coronary angingraphy or treatment, compared with the hydrophilic coating super smooth catheter. Methods： The patients （n=l 400） were randomly divided into super smooth guide wire group （n=700） and ordinary J type guide wire group （n=700）, compared the operation time, X-ray fluoroscopy of time, amount of radiation exposure, operation guide wire success rate, complications of cases and radial artery occlusion rate after nine months of the two groups. Results： The operation time, X-ray fluoroscopy of time, amount of radiation exposure and complications of the ordinary J type guide wire group were significantly less than that of the super smooth guide wire group, differences were statistically significant （P〈0.01）, the operation guide wire success rate and radial artery occlusion rate were similar between the two groups, there was no statistical difference （P〉0.05）. Conclusions： Compared with super smooth guide wire, ordinary J type guide wire is more secure, effective, it can be used as firs-rontine guide wire in trans-radial coronary angiography or treatment.

关 键 词：普通J型导丝 超滑导丝 桡动脉 导管输送 

分 类 号：R654.3[医药卫生—外科学]