经股动脉与经桡动脉径路介入术治疗冠心病的临床效果对比观察  

Clinical effect comparison of femoral artery and percutaneous radial artery approach for treating coronary heart disease

作　　者：郑彩虹[1] 董惠翔[1] 黄战军[1] 张旭升[1] 刘金静[1] 

机构地区：[1]广东省深圳市龙岗区人民医院,深圳518172

出　　处：《临床医学》2016年第12期27-29,共3页Clinical Medicine

摘　　要：目的比较经股动脉路径和经桡动脉路径对冠心病介入治疗的临床效果,探讨两种手术路径的优点和缺点,为临床治疗冠心病寻找最佳手术路径。方法将2014年5月至2014年9月符合介入手术指征的冠心病患者112例随机分为观察组和对照组,每组56例,对照组通过股动脉进行介入治疗,观察组通过桡动脉进行介入治疗,比较两组手术操作成功率、穿刺时间、手术时间、住院时间和术后并发症的发生情况。结果观察组手术成功率为94.64%(53/56),对照组为91.07%(51/56),两者比较差异未见统计学意义(P<0.05);观察组的穿刺时间、手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组术后发生动静脉瘘、局部感染、表皮坏死等并发症的发生率为7.14%(4/56),明显较对照组21.43%(12/56)低,差异有统计学意义(P<0.05)。结论在冠心病介入治疗中,经股动脉和经桡动脉路径的手术成功率相当,但经桡动脉术后的并发症少、安全性高,此路径可以作为临床上介入术治疗冠心病的首选路径。Objective To compare the clinical effect of femoral artery and radial artery interventional therapy for treating coronary heart disease,investigating advantages and disadvantages,and to find the best path for clinical surgery. Methods One hundred and twelve patients with coronary heart disease from May 2014 to September 2014 in accordance with the indications for surgery were randomly divided into observation group and control group with 56 cases in each group. The control group accepted femoral artery interventional therapy,and the observation group were treated radial artery interventional therapy. Compared the success rate,average operation puncture time,operation time,hospitalization time and postoperative complications between the two groups. Results In the observation group,the success rate of operation was 94. 64%（53 / 56）,the control group was 91. 07%（51 / 56）,there was no significant difference between the two groups（P 〈 0. 05）;the puncture time,operative time, hospitalization time in the observation group were shorter than those in the control group,the differences were statistically significant（P 〈 0. 05）;the occurrence of arteriovenous fistula,local infection,skin necrosis of the postoperative complications of the observation group was 7. 14%（4 / 56）,which was significantly lower than that in control group（21. 43% ,12 / 56）,the difference was statistically significant（P 〈 0. 05）. Conclusion In patients with coronary heart disease,through the femoral artery and radial artery path in the success rate of surgery,but transradial postoperative complications and high safety,the preferred path the path can be used as a clinical intervention in patients with coronary heart disease.

关 键 词：股动脉 桡动脉 介入术 冠心病 临床效果 

分 类 号：R541.4[医药卫生—心血管疾病]