经桡动脉与股动脉入路介入治疗老年冠心病患者对比观察  

Comparative observation of transradial artery and transfemoral artery approaches in interventional treatment of elderly patients with coronary heart disease

作　　者：钱嘉斌 吴晓晓 张美玲 QIAN Jiabin;WU Xiaoxiao;ZHANG Meiling(Department of Cardiology,Wujiang District Traditional Chinese Medicine Hospital of Suzhou City,Suzhou,Jiangsu 215221,China)

机构地区：[1]苏州市吴江区中医医院心内科,江苏苏州215221

出　　处：《医药前沿》2025年第5期45-48,共4页Journal of Frontiers of Medicine

摘　　要：目的观察老年冠心病(CHD)患者分别采用经桡动脉入路介入治疗与经股动脉入路介入治疗的效果。方法将2022年7月—2024年1月苏州市吴江区中医医院收治的42例老年CHD患者依据入院顺序均分为观察组、对照组各21例。对照组患者予以经股动脉入路介入治疗,观察组患者予以经桡动脉入路介入治疗,比较两组治疗指标、心功能、术后恢复情况、并发症及心血管不良事件情况。结果观察组手术成功率及一次性穿刺成功率高于对照组,穿刺时间、X线曝光时间、手术操作时间短于对照组,造影剂使用量少于对照组(P<0.05);观察组术后加压包扎时间、卧床时间及住院时间短于对照组(P<0.05);两组左室射血分数、左室收缩末期内径、左室舒张末期内径比较,差异无统计学意义(P>0.05);观察组并发症总发生率、心血管不良事件总发生率均低于对照组(P<0.05)。结论在老年CHD患者治疗中,经桡动脉与股动脉入路介入治疗均可改善机体心功能,但是经桡动脉入路介入治疗的一次性穿刺成功及手术成功率更高,且相关治疗时间较短,术后恢复加快,并发症及心血管不良事件风险较低。Objective To explore the effects of transradial artery approach interventional treatment and transfemoral artery approach interventional treatment in elderly patients with coronary heart disease(CHD).Methods A total of 42 elderly CHD patients admitted to Wujiang District Traditional Chinese Medicine Hospital of Suzhou City from July 2022 to January 2024 were equally divided into the observation group and the control group(21 cases in each group)based on the order of admission.The control group received transfemoral artery approach interventional treatment,while the observation group received transradial artery approach interventional treatment.The treatment indicators,cardiac function,postoperative recovery,complications and adverse cardiovascular events were compared between the two groups.Results The success rate of surgery and one-time puncture in the observation group was higher than that in the control group,the puncture time,X-ray exposure time and surgical operation time were shorter that those in the control group,and the amount of contrast medium used was less than that in the control group(P<0.05);the time of postoperative compression bandage,the time of lying in bed and the duration of hospitalization in the observation group were shorter than those in the control group(P<0.05);the differences in the levels of left ventricular ejection fraction,left ventricular end-systolic diameter,and left ventricular end-diastolic diameter between the two groups were not statistically significant(P>0.05);and the total incidence of complications and the total incidence of cardiovascular adverse events in the observation group were lower than those in the control group(P<0.05).Conclusions In the treatment of elderly CHD patients,both transradial artery approach and transfemoral artery approach can improve cardiac function,however,the success rate of one-time puncture and interventional treatment with transradial artery approach is higher,the related treatment time is shorter,the postoperative recovery is faster,and th

关 键 词：经桡动脉入路介入治疗 经股动脉入路介入治疗 冠心病 老年 并发症 

分 类 号：R541[医药卫生—心血管疾病]