经桡动脉行冠状动脉介入治疗急性心肌梗死临床研究  

Clinical Study of Transradial Approach for Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

作　　者：马宇凌 耿磊[2] 杨学龙 MA Yuling;GENG Lei;YANG Xuelong(Department of Cardiology,The People’s Hospital of Wuzhong,Wuzhong 751100,China;Department of Cardiology,The First People’s Hospital of Shizuishan,Shizuishan 753200,China;Malianqu Township Hospital of Litong District,Wuzhong 751100,China)

机构地区：[1]宁夏吴忠市人民医院心血管内科,吴忠751100 [2]宁夏石嘴山市第一人民医院心血管内科,石嘴山753200 [3]宁夏吴忠市利通区马莲渠乡卫生院,吴忠751100

出　　处：《宁夏医科大学学报》2019年第8期849-852,共4页Journal of Ningxia Medical University

摘　　要：目的探讨经桡动脉行冠状动脉介入(PCI)治疗对急性心肌梗死(AMI)的临床疗效及安全性。方法选取吴忠市人民医院2015年1月-2016年12月期间收治并实施PCI的AMI患者173例,根据手术入路分为研究组(97例)和对照组(76例);在给予同样基础治疗前提下,研究组患者经桡动脉行PCI,对照组患者经股动脉行PCI;比较两组患者的手术情况、手术并发症及术后不良反应。结果两组患者的手术成功率差异无统计学意义(P>0.05);与对照组相比,研究组穿刺时间长(P<0.01),术后卧床时间及住院时间均较短(P均<0.01);研究组患者术后出血、血管迷走反射的发生率,不良反应发生率均低于对照组(P均<0.05)。结论经桡动脉行PCI治疗AMI的临床疗效与经股动脉相似,但术后并发症和不良情况较少,值得在临床推广应用。Objective To study the effect and safety of transradial approach for percutaneous coronary intervention (PCI) in patients with acute myocardial infarction(AMI).Methods Total 173 patients with AMI were divided into two groups,trial group(n=97)and control group(n=76)according to the interventional approach.Under the same basic treatment,patients in the trial group were given PCI by transradial approach,while patients in the control group were given PCI by trans-femoral approach.The general conditions of the PCI,perioperative complications,and postoperative discomfort in both groups were evaluated.Results The success rate of PCI between two groups showed no significant difference (P>0.05),the time of arterial puncture in trail group was longer,while in-bed time was shorter than that in control group(P<0.01).The incidence of vascular complications in control group was significantly higher than that in trail group(P all<0.01).The incidence of postoperative discomfort in the control group was significantly higher than that in the trail group (P all<0.05).Conclusion The transradial approach for percutaneous coronary intervention in patients has a similar clinical effect compared with the transfemoral approach,but with less vascular complications and postoperative discomfort.

关 键 词：急性心肌梗死 冠状动脉介入 桡动脉 有效性 安全性 

分 类 号：R542.22[医药卫生—心血管疾病]