急性冠状动脉综合征患者介入治疗后桡动脉痉挛发生的高危因素分析  

Risk factors of radial artery spasm after interventional therapy in patients with acute coronary syndrome

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作  者:亓新玲 王莉 郭丽杰 Qi Xinling;Wang Li;Guo Lijie(Department of Emergency Medicine,Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区:[1]驻马店市中心医院急诊科,驻马店463000

出  处:《中国实用医刊》2023年第10期68-71,共4页Chinese Journal of Practical Medicine

摘  要:目的探究急性冠状动脉综合征(ACS)患者介入治疗后桡动脉痉挛(RAS)发生的相关高危因素。方法抽取2019年4月至2021年3月于驻马店市中心医院行经桡动脉冠状动脉介入治疗(TRI)的ACS患者168例,对患者从入院准备TRI直至出院期间进行同步跟踪随访,根据是否发生RAS进行分组。收集患者的性别、年龄、ACS临床类型、身高、体质指数、吸烟史、饮酒史、高血压病史、糖尿病病史、高脂血症、冠状动脉病变程度、桡动脉入路方式、桡动脉直径、桡动脉路径异常、鞘管置入时前臂疼痛、导管交换次数等基线资料,分析ACS患者介入治疗后RAS发生的高危因素。结果168例ACS患者中,24例患者介入治疗后发生RAS,发生率为14.29%。单因素分析结果显示,性别、吸烟史、桡动脉路径异常、导管交换次数是ACS患者介入治疗后发生RAS的影响因素(P<0.05)。多因素Logistic回归分析结果显示,女性、吸烟、桡动脉路径异常、导管交换次数多是ACS患者介入治疗后RAS发生的独立危险因素(P<0.05)。结论ACS患者介入治疗后RAS发生的影响因素较多,其中女性、吸烟、桡动脉路径异常、导管交换次数多是ACS患者介入治疗后RAS发生的独立高危因素。Objective To investigate the risk factors of radial artery spasm(RAS)after interventional therapy in patients with acute coronary syndrome(ACS).Methods A total of 168 ACS patients who underwent transradial intervention(TRI)in Zhumadian Central Hospital from April 2019 to March 2021 were selected.The patients were followed up synchronously from the time of admission preparation of TRI to the time of discharge.According to whether RAS occurred during follow-up,patients were grouped.The baseline data were collected,including gender,age,clinical type of ACS,height,body mass index,smoking history,drinking history,history of hypertension,history of diabetes mellitus,hyperlipidemia,degree of coronary artery disease,radial artery approach,radial artery diameter,abnormal flex artery path,forearm pain during sheath insertion,and catheter exchange frequency.And the high risk factors of RAS after interventional therapy in ACS patients were analyzed.Results Twenty-four of 168 ACS patients developed RAS after interventional therapy,with an incidence of 14.29%.The results of univariate analysis showed that gender,smoking history,abnormal radial artery path and catheter exchange frequency were the influencing factors of RAS after interventional therapy in ACS patients(P<0.05).The results of multivariate Logistic regression analysis showed that female,smoking,abnormal radial artery path and frequent catheter exchanges were independent risk factors for RAS after interventional therapy in patients with ACS(P<0.05).Conclusions There are many factors influencing the occurrence of RAS after interventional therapy in patients with ACS.Among them,female,smoking,abnormal radial artery path,and frequent catheter exchanges are independent high risk factors for the occurrence of RAS after interventional therapy in patients with ACS.

关 键 词:急性冠状动脉综合征 桡动脉痉挛 经桡动脉冠状动脉介入治疗 

分 类 号:R541.4[医药卫生—心血管疾病]

 

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