经远端桡动脉路径(鼻烟壶区穿刺)在冠状动脉介入诊疗中的临床应用  

Clinical application of the distal radial artery approach(snuffbox puncture)in the diagnosis and treatment of coronary artery intervention

作　　者：李仁敏[1] 洪泽文 陆永光[1] 刘醒存[1] 仇昌智[1] 陈丽媛[1] LI Renmin;HONG Zewen;LU Yongguang;LIU Xingcun;QIU Changzhi;CHEN Liyuan(Department of Cardiology,the Second People's Hospital of Qinzhou City,Guangxi,Qinzhou 535000,China)

机构地区：[1]广西壮族自治区钦州市第二人民医院心内科,广西钦州535000

出　　处：《中国医药科学》2021年第17期5-8,共4页China Medicine And Pharmacy

基　　金：广西壮族自治区钦州市科学研究与技术开发计划项目(20210408)。

摘　　要：目的探究经远端桡动脉(鼻烟壶区)途径在冠状动脉造影及介入中的应用价值。方法回顾性分析钦州市第二人民医院2020年7月1日至2021年3月1日行冠状动脉介入治疗患者200例,按入路方法不同分为对照组和观察组,每组各100例。前者经常规桡动脉途径,后者实施经远端桡动脉(鼻烟壶区)途径,最后应用统计学分析进行数据的统计和归纳。结果观察组穿刺次数、穿刺时间、X线曝光时间较对照组降低,差异有统计学意义(P<0.05);观察组穿刺成功率、造影成功率、大出血率与对照组比较,差异无统计学意义(P>0.05);观察组手术时间、造影剂使用量、术后动脉压迫时间的手术指标较对照组低,且观察组皮下血肿直径短于对照组,差异有统计学意义(P<0.05);两组中观察组疼痛视觉模拟评分(VAS)和治疗满意度评分优于对照组,且观察组住院天数短于、住院费用低于对照组,差异有统计学意义(P<0.05);观察组桡动脉出血、局部血肿以及动静脉瘘并发症发生率和对照组发生率比较,差异有统计学意义(P<0.05)。结论实施经远端桡动脉途径展开冠状动脉造影及介入治疗具有良好的应用价值,可有效改善患者临床症状,并缓解其疼痛,降低并发症风险,提高其治疗满意程度。Objective To explore the application value of distal radial artery(snuffbox area)approach in coronary angiography and intervention.Methods A retrospective analysis of 200 patients undergoing coronary interventional therapy in the Second People's Hospital of Qinzhou City from July 1,2020 to March 1,2021 was conducted.According to different approaches,they were divided into he control group and the observation group,each with 100 cases.The former received conventional radial artery approach,while the latter underwent distal radial artery(snuffbox)approach.Finally,statistical methods were used for data statistical processing and induction.Results The number of punctures,puncture time,and X-ray exposure time of the observation group were less than those of the control group,and the differences were statistically significant(P<0.05).The success rate of puncture,the success rate of angiography,and the rate of massive bleeding in the observation group were compared with the control group,the differences were not statistically significant(P>0.05).In the two groups,the operation time,the amount of contrast media used,and the postoperative arterial compression time in the observation group were lower than those in the control group,and the subcutaneous hematoma diameter of the observation group was shorter than that of the control group,with all the differences statistically significant(P<0.05).The visual analogue scale(VAS)score and treatment satisfaction score of the observation group were different from those of the control group,and the observation group had shorter length of stay and lower hospitalization expenses,with the difference statistically significant(P<0.05).There was significant difference in the incidence of complications including radial artery hemorrhage,local hematoma and arteriovenous fistula between the observation group and the control group(P<0.05).Conclusion Coronary angiography and interventional therapy through the distal radial artery approach has good application value,which can effectively impr

关 键 词：远端桡动脉 冠状动脉造影 介入 满意度 

分 类 号：R541.4[医药卫生—心血管疾病]