经桡动脉途径行冠状动脉介入治疗的效果和安全性分析  

Analysis of the effect and safety of transradial percutaneous coronary intervention

作　　者：林锋[1] 丁世芳[1] 蒋桔泉[1] 陈志楠[1] 

机构地区：[1]广州军区武汉总医院心血管内科,湖北武汉430070

出　　处：《心血管康复医学杂志》2015年第4期425-427,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究经桡动脉途径行冠状动脉介入治疗的效果,分析其可行性和安全性。方法:回顾分析2012年3月至2014年1月在我院行冠状动脉介入的306例患者的临床资料,其中桡动脉组(153例),股动脉组(153例),比较两组患者治疗效果、时间以及术后并发症等。结果:桡动脉组151例顺利完成介入手术,成功率为98.7%;股动脉组150例顺利完成介入手术,手术成功率为98.0%。两组手术成功率无统计学差异(P>0.05)。与股动脉组比较,桡动脉组住院时间[(8.0±3.5)d比(3.5±1.7)d]明显缩短,治疗费用[(3.74±2.06)万元比(2.61±1.4)万元]明显减少(P均<0.01);术后冠脉闭塞(3.92%比0%)、心律失常(11.76%比1.31%)、血管痉挛(6.54%比1.96%)以及血肿(7.19%比0.65%)等的发生率均显著降低(P<0.05或<0.01)。结论:应用经桡动脉途径行冠状动脉介入治疗效果优于股动脉途径,可减少住院时间,降低住院费用、并发症,值得推荐。Objective：To study the effect and safety of transradial percutaneous coronary intervention（PCI）.Methods：Clinical data of 306 patients,who received PCI in our hospital from Mar 2012 to Jan 2014,were retrospectively analyzed,including radial group（n=153）,and femoral group（n=153）.Therapeutic effect,time and postoperative complications etc.were compared between two groups.Results：A total of 151 cases completed PCI successfully in radial group,the success rate was 98.7%;a total of 150 cases completed PCI successfully in femoral group,the success rate was 98.0%,there was no significant difference in success rate of operation between two groups,P〈0.05.Compared with femoral group,there were significant reductions in hospitalization time[（8.0±3.5）d vs.（3.5±1.7）d],treatment cost[（3.74±2.06） ×104 yuan vs.（2.61±1.4） ×104 yuan],P〈0.01 both,in incidence rates of postoperative coronary occlusion（3.92% vs.0%）,arrhythmia（11.76% vs.1.31%）,vascular spasm（6.54% vs.1.96%）and hematoma（7.19% vs.0.65%）etc.in radial group,P〈0.05 or 0.01.Conclusion：Transradial PCI possesses better effect than that of transfemoral,and it can reduce hospitalization time,cost and postoperative complications,which is worth extending.

关 键 词：桡动脉 血管成形术 气囊 冠状动脉 可行性研究 

分 类 号：R541.4[医药卫生—心血管疾病]