经桡动脉途径介入治疗老年冠心病合并慢性左心衰竭患者的临床效果  

Clinical Effect of Interventional Treatment of Elderly Patients with Coronary Heart Disease Complicated with Chronic Left Heart Failure Via Radial Artery Approach

作　　者：查树德 ZHA Shude(Department of Cardiovascular Medicine,Second People's Hospital of Yixing City,Yixing 214221,China)

机构地区：[1]宜兴市第二人民医院心血管内科,江苏宜兴214221

出　　处：《中国医药指南》2022年第23期91-93,共3页Guide of China Medicine

摘　　要：目的探讨经桡动脉途径介入治疗老年冠心病合并慢性左心衰竭患者的临床效果。方法选取2019年1月至2022年1月我院收治的老年冠心病合并慢性左心衰竭患者100例,以随机数表法分为对照组与观察组,各50例。对照组接受经股动脉介入治疗,观察组接受经桡动脉介入治疗,比较两组穿刺效果、术后卧床时间与并发症发生率。结果观察组X线曝光时间长于对照组,术后卧床时间短于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05);两组患者住院期间未出现死亡病例。结论经桡动脉途径介入治疗老年冠心病合并慢性左心衰竭的临床效果确切,相较于经股动脉介入治疗,可延长X线曝光时间,加快术后恢复速度,减少并发症的发生。Objective To investigate the clinical effect of transradial artery intervention in the treatment of elderly patients with coronary heart disease complicated with chronic left heart failure.Methods A total of 100 elderly patients with coronary heart disease combined with chronic left heart failure who were treated in our hospital from January 2019 to January 2022 were selected and divided into control group and observation group by random number table method,with 50 cases in each group.The control group received interventional therapy via the femoral artery,and the observation group received interventional therapy via the radial artery.The puncture effect,postoperative bed rest time and the incidence of complications were compared between the two groups.Results The X-ray exposure time in the observation group was longer than that in the control group,and the postoperative bed rest time was shorter than that in the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).There were no deaths in the two groups of patients during hospitalization.Conclusion The clinical effect of transradial artery intervention in the treatment of elderly patients with coronary heart disease complicated with chronic left heart failure is accurate.Compared with transfemoral artery intervention,it can prolong the X-ray exposure time,speed up postoperative recovery,and reduce the occurrence of complications.

关 键 词：冠心病 老年人 桡动脉 介入治疗 慢性左心衰竭 并发症 

分 类 号：R541.4[医药卫生—心血管疾病]