经鼻烟壶桡动脉与常规桡动脉行冠脉介入治疗术在临床疗效中的对比研究  

Comparative Study on Clinical Outcomes of Coronary Intervention via the Snuff Bottle Radial Artery and Conventional Radial Artery

作　　者：朱张国 桂家晶 杨娟 李茂 ZHU Zhangguo;GUI Jiajing;YANG Juan;LI Mao(Department of Cardiology,Anshun Pingba District People's Hospital,Anshun,Guizhou Province,561000 China)

机构地区：[1]安顺市平坝区人民医院心内科,贵州安顺561000

出　　处：《系统医学》2024年第7期106-109,共4页Systems Medicine

摘　　要：目的探讨经鼻烟壶桡动脉与常规桡动脉行冠脉介入治疗术在临床疗效中的对比研究。方法选取2022年6月—2023年10月平坝区人民医院心内科收治的58例行冠脉介入治疗术的患者作为研究对象,用随机数表法分为对照组和研究组,各29例,对照组在常规桡动脉行经皮冠脉介入治疗(Percutaneous Coronary Intervention,PCI),研究组在鼻烟壶桡动脉处介入PCI术治疗。对比两组临床疗效。结果两组患者造影剂所需量和手术耗时对比,差异无统计学意义(P均>0.05)。研究组住院时间和术后压迫时间短于对照组,差异有统计学意义(P均<0.05)。研究组穿刺耗时、X线曝光时段短于对照组,穿刺次数少于对照组,差异有统计学意义(P均<0.05)。研究组并发症发生率(10.34%)低于对照组(27.59%),差异有统计学意义(χ^(2)=9.681,P<0.05)。结论经鼻烟壶桡动脉行冠脉介入治疗术相较于常规桡动脉临床疗效更加显著,不仅降低了患者的并发症发生率,还缩短了患者住院时间和术后压迫时间,改善了患者穿刺情况,安全可靠。Objective To investigate the comparative study of coronary intervention via the snuff bottle radial artery and the conventional radial artery in terms of clinical efficacy.Methods 58 patients undergoing coronary interventional therapy in the Department of Cardiology of Pingba District People's Hospital from June 2022 to October 2023 were selected as the study objects,and were divided into control group and study group by random number table method,with 29 cases in each group.The control group underwent Percutaneous Coronary Intervention(PCI)at the conventional radial artery,and the study group underwent PCI at the radial artery of the snuff bottle.The clinical efficacy of the two groups was compared.Results The amount of contrast agent required and operation time between the two groups were compared,the differences were not statistically significant(both P>0.05).The hospital stay and postoperative compression time in the study group were shorter than those in the control group,and the differences were statistically significant(both P<0.05).The puncture time,X-ray exposure time and puncture times of the study group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).The complication rate of the study group(10.34%)was lower than that of the control group(27.59%),and the difference was statistically significant(χ^(2)=9.681,P<0.05).Conclusion Compared with conventional radial artery,coronary interventional therapy via snuff bottle has a more significant clinical effect,which not only reduces the complication rate of patients,but also shortens the hospital stay and postoperative compression time of patients,improves the puncture situation of patients,and is safe and reliable.

关 键 词：冠脉介入治疗术 鼻烟壶桡动脉 常规桡动脉 临床疗效 

分 类 号：R541[医药卫生—心血管疾病]