经桡动脉脑血管造影术的应用价值研究  

Study on application value of transradial cerebral angiography

作　　者：周逸帆 何泰吉 魏艳花[1] 李全伟 焦爱文 ZHOU Yi-fan;HE Tai-ji;WEI Yan-hua(Neurosurgery Department,Baiyin Second People's Hospital,Baiyin 730900,China)

机构地区：[1]白银市第二人民医院神经外科,730900

出　　处：《中国实用医药》2024年第11期46-49,共4页China Practical Medicine

基　　金：白银市科技计划项目(项目编号:2022-2-40Y),项目名称:经桡动脉脑血管造影术研究及应用推广。

摘　　要：目的 探讨经桡动脉脑血管造影术在脑血管疾病患者中的应用价值。方法 将63例脑血管疾病患者作为研究对象,根据随机数字表法分为传统组(31例)及实验组(32例)。两组患者均接受脑血管造影术,其中传统组行经股动脉脑血管造影术,实验组行经桡动脉脑血管造影术。对比两组患者穿刺成功率、选择性动脉造影技术成功率、围手术期指标及并发症发生情况。结果 实验组穿刺成功率96.88%(31/32)高于传统组的96.77%(30/31),选择性动脉造影技术成功率93.75%(30/32)高于传统组的93.55%(29/31),但对比均无显著差异(P>0.05)。两组患者围术期的造影剂用量、穿刺时间、曝光时间、手术时间对比均无显著差异(P>0.05);实验组卧床时间(2.27±0.12)h及术后恢复时间(6.21±1.23)h短于传统组的(12.18±2.27)、(23.12±4.34)h(P<0.05)。实验组并发症发生率9.38%(3/32)低于传统组的29.03%(9/31)(P<0.05)。结论 脑血管疾病应用经桡动脉脑血管造影术可缩短患者卧床时间及术后恢复时间,提高患者舒适度,减少并发症的发生。Objective To explore the application value of transradial cerebral angiography in patients with cerebrovascular disease.Methods 63 patients with cerebrovascular diseases were selected as the study subjects.According to the random number table method,they were divided into a traditional group(31 cases)and an experimental group(32 cases).Both groups of patients received cerebral angiography,in which the traditional group received transfemoral cerebral angiography,the experimental group received transradial cerebral angiography.The success rate of puncture success rate of selective arteriography,perioperative indexes and complications were compared between the two groups.The success rate of puncture in the experimental group was 96.88%(31/32),which was higher than 96.77%(30/31)in the traditional group;the success rate of selective arteriography in the experimental group was 93.75%(30/32),which was higher than 93.55%(29/31)in the traditional group(P>0.05).There was no significant difference in the amount of contrast agent,puncture time,exposure time,and surgical time between the two groups(P>0.05).The time of bed rest and postoperative recovery in the experimental group were(2.27±0.12)and(6.21±1.23)h,which were shorter than(12.18±2.27)and(23.12±4.34)h in the traditional group(P<0.05).The complication rate of the experimental group was 9.38%(3/32),which was lower than 29.03%(9/31)of the traditional group(P<0.05).Conclusion Application of transradial cerebral angiography in patients with cerebrovascular disease can shorten the time of bed rest and postoperative recovery,improve patient comfort,and reduce complications.

关 键 词：桡动脉 股动脉 脑血管造影术 穿刺成功率 

分 类 号：R743[医药卫生—神经病学与精神病学]