长导丝交换技术在经桡动脉途径脑血管造影术中的应用价值研究  

Application Value of Long Guide Wire Exchange Technique in Transradial Artery Angiography

作　　者：王富 郭万亮 WANG Fu;GUO Wanliang(Department of Critical Care Medicine,Zhangye Second People's Hospital,Zhangye 734000,Gansu,China)

机构地区：[1]张掖市第二人民医院重症医学科,甘肃张掖734000

出　　处：《中外医疗》2024年第17期17-20,共4页China & Foreign Medical Treatment

基　　金：2023年度张掖市市级科技计划项目(ZY2023BJ21)。

摘　　要：目的 探究在经桡动脉途径脑血管造影术中使用长导丝交换技术的价值,旨在明确经桡动脉入径使用长导丝交换技术行脑血管造影术的有效性、安全性。方法 随机选取张掖市第二人民医院于2023年1—12月经桡动脉入径使用长导丝交换技术行脑血管造影术的150例患者,设为观察组,随机选取本院于2019年9月—2022年12月经股动脉入径使用长导丝交换技术行脑血管造影术的150例患者,设为对照组。比较两组患者的穿刺置管成功率、造影时间、曝光时间、图片质量、安全性的差异。结果 观察组穿刺置管成功率高于对照组,差异有统计学意义(P<0.05)。观察组造影时间(65.19±6.25)min、曝光时间(12.56±3.28)min均显著短于对照组,差异有统计学意义(t=5.648、7.285,P均<0.05)。两组图片质量评分比较,差异无统计学意义(P>0.05)。观察组并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 经桡动脉途径脑血管造影术中使用长导丝交换技术,图片质量良好,可显著促进穿刺置管成功,缩短造影时间、曝光时间,安全性更高。Objective To explore the value of using long guide wire exchange technique in cerebrovascular angiography through radial artery approach,and to determine the effectiveness and safety of using long guide wire exchange technique in cerebrovascular angiography through transradial artery approach.Methods One hundred and fifty patients in Zhangye Second People's Hospital who underwent cerebral angiography at radial artery entrance from January to December 2023 using long guide wire exchange technique were randomly selected as the observation group.A total of one hundred and fifty patients who underwent cerebral angiography using long wire exchange technique at femoral artery entrance from September 2019 to December 2022 in the hospital were randomly selected as the control group.The differences in the success rate of catheterization,contrast time,exposure time,image quality and safety of the two groups were compared.Results The success rate of puncture catheterization in observation group was higher than that in control group,the difference was statistically significant(P<0.05).The contrast time(65.19±6.25) min and exposure time(12.56±3.28) min in the observation group were significantly shorter than those in the control group,the differences were statistically significant(t=5.648,7.285,both P<0.05).There was no significant difference in image quality scores between the two groups(P>0.05).The total incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of long wire exchange technology in transradial artery cerebrovascular angiography has good image quality,can significantly promote the success of puncture catheterization,shorten the angiography time and exposure time,and has higher safety.

关 键 词：长导丝交换技术 经股动脉入径行脑血管造影术 经桡动脉途径脑血管造影术 价值 

分 类 号：R4[医药卫生—临床医学]