经桡动脉行冠状动脉介入治疗中桡动脉痉挛的发生因素预测及措施  

Projection of factors and measures of radial artery spasm during coronary intervention via radial artery

作　　者：杨久宇[1] 佟明琪 徐国民 Yang Jiuyu;Tong Mingqi;Xu Guomin(Department of Cardiology,Second Clinical Medicine Hospital of Inner Mongolia University for Nationalities (Inner Mongolia General Hospital of Forestry),Yakeshi City 022150,China)

机构地区：[1]内蒙古民族大学第二临床医学院(内蒙古林业总医院)心血管内科

出　　处：《中国循证心血管医学杂志》2018年第11期1376-1378,1384,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨并分析经桡动脉行冠状动脉介入治疗(TRI)中桡动脉痉挛的发生因素以及预防措施。方法选取内蒙古民族大学第二临床医学院(内蒙古林业总医院)于2016年1月～2017年1月收治的156例行TRI治疗的患者作为研究对象,依据治疗过程中有无桡动脉痉挛,将其分为已发生桡动脉痉挛组和非桡动脉痉挛组,即RAS组和非RAS组。同时,采用Logistic回归分析方法,分析行TRI治疗过程中,桡动脉痉挛发生的因素。结果通过比较两组患者的一般资料,发现两组患者在性别、年龄、高血压、糖尿病、高血脂症及吸烟史方面存在差异,差异有统计学意义(P<0.05);通过比较两组患者的手术特征,发现两组患者在中、重度前臂痛、桡动脉路径异常、桡动脉直径与身高比值、导管交换次数及桡动脉直径与导管外径比值方面存在差异,差异有统计学意义(P<0.05);采用Logistic回归分析方法,对RAS组中的发生因素进一步分析,发现年龄、性别、吸烟史、中重度前臂痛、桡动脉路径异常、桡动脉直径与身高比值、导管交换次数以及桡动脉直径与导管外径比值可能是关键性的发生因素(P<0.05)。结论经桡动脉行冠状动脉介入治疗中桡动脉痉挛的发生因素比较多,其中女性、吸烟史、中重度前臂痛、桡动脉路径异常、桡动脉直径与身高比值、导管交换次数以及桡动脉直径与导管外径比值可能是比较关键的因素,因而在采取措施时,应给于高度的关注和重视。Objective To investigate and analyze the factors and preventive measures of radial artery spasm during coronary intervention(TRI)via radial artery.Methods156patients who underwent TRI treatment from January2016to January2017were selected as subjects.According to the presence or absence of radial artery spasm during the treatment,the patients were divided into the group of radial artery spasm and non-radial artery spasm,namely RAS group and non-RAS group.Logistic regression analysis was used to analyze the factors of radial artery spasm during TRI treatment.Results By comparing the general data of two groups of patients,the main factors were sex,age,hypertension,diabetes,stroke and smoking history,the difference was statistically significant(P<0.05).By comparing the operation characteristics of the two groups,the differences between the two groups were statistically significant(P<0.05).Logistic regression analysis was used to analyze the predictors in RAS group.Age,sex,smoking history,moderate and severe anterior arm pain,radial artery path anomaly,radial artery diameter to height ratio,catheter exchange times and radial artery diameter to catheter diameter ratio were found to be the key factors(P<0.05).Conclusion There are many factors in the radial artery intervention for radial artery intervention,including female,smoking history,moderate to severe forearm pain,radial artery path abnormality,radial artery diameter to height ratio,number of catheter exchanges,and ratio of radial artery diameter to catheter outer diameter may be a relatively important factor.

关 键 词：冠状动脉 桡动脉痉挛 发生因素 

分 类 号：R816.2[医药卫生—放射医学]