经桡动脉腕背支与经典桡动脉途径行冠状动脉介入诊疗的对比研究  

Comparison of coronary intervention via radial artery dorsal carpal branch and classical radial artery

作　　者：方凌燕 陈图刚 陈晓 李国华 李亚钦 张谷 陈灿 FANG Ling-yan;CHEN Tu-gang;CHEN Xiao;LI Guo-hua;LI Ya-qing;ZHANG Gu;CHEN Can(Department of Cardiology,the Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524003,China)

机构地区：[1]广东医科大学附属第二医院心血管内科,广东湛江524003

出　　处：《广东医科大学学报》2021年第3期282-284,共3页Journal of Guangdong Medical University

摘　　要：目的比较经桡动脉腕背支与经典桡动脉途径行冠状动脉介入诊疗的可行性及安全性。方法选择心内科行冠状动脉造影的患者164例,分为桡动脉腕背支组和经典桡动脉组,每组82例。比较两组的穿刺时间、一次性穿刺成功率及桡动脉痉挛等穿刺情况,并评估两组患者术后并发症和疼痛情况。结果与经典桡动脉组相比,桡动脉腕背支组的穿刺时间较长,一次穿刺成功率较低(P<0.01);但桡动脉腕背支组患者桡动脉痉挛发生率、疼痛评分[(1.26±0.70)分vs(2.02±1.14)分]及穿刺点出血、血肿、迷走反射、张力性水泡等并发症的发生率均低于经典桡动脉组(P<0.05或0.01)。结论经桡动脉腕背支行冠状动脉介入操作安全,术后并发症发生率低,患者术后舒适度增加,弥补了经典桡动脉入路的不足,可在临床中推广。Objective To compare the feasibility and safety of coronary intervention through radial artery dorsal carpal branch puncture and classical radial artery.Methods A total of 164 cases who underwent coronary angiography were selected and divided into Radial Artery Dorsal Branch Group and Classical Radial Artery Group,82 cases in each group.The average puncture time,the success rate of one-time puncture and arterial spasms were compared,and the postoperative complications and postoperative pain of the two groups were assessed.Results Compared to the Classical Radial Artery Group,the Radial Artery Dorsal Branch Group had a longer average puncture time and lower success rate of one-time puncture(P<0.01),but had a lower incidence of radial artery spasm,lower pain score[(1.26±0.70)points vs(2.02±1.14)points]and a lower incidence of postoperative complications such as hemorrhage at the puncture site,hematoma,vagal reflex,and tension vesicle(P<0.05 or 0.01).Conclusion Coronary intervention via radial artery dorsal carpal branch is a safe operation with low incidence of postoperative complications and increased postoperative comfort for patients.It makes up the deficiency of the classical radial artery approach and can be popularized in clinical practice.

关 键 词：桡动脉腕背支 桡动脉 冠状动脉造影术 

分 类 号：R541[医药卫生—心血管疾病]