经远端桡动脉入路行全脑血管造影的效果分析  

Effect analysis of cerebral angiography through the distal radial artery approach

作　　者：宋佳 张玉曼[1] 白德龙 李宝栋[1] SONG Jia;ZHANG Yuman;BAI Delong;LI Baodong(Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine/Hebei Provincial Key Laboratory of Neurological Rehabilitation of Integrated Chinese and Western Medicine,Cangzhou 061000,China)

机构地区：[1]河北省沧州中西医结合医院河北省中西医结合神经康复重点实验室,河北沧州061000

出　　处：《中国实用神经疾病杂志》2025年第3期305-310,共6页Chinese Journal of Practical Nervous Diseases

基　　金：沧州市重点研发计划项目(编号:213106137)。

摘　　要：目的对比经桡动脉(TRA)和远端桡动脉(dTRA)入路行全脑血管造影的效果。方法选取2021-01—2022-12在河北省沧州中西医结合医院行全脑血管造影术的患者124例,根据全脑血管造影术入路途径分为TRA组(n=65)和dTRA组(n=59)。观察指标包括穿刺时间、手术时间、穿刺成功率、受线时间、术后动脉压迫时间、术后3 d内穿刺相关并发症发生率、出院前主要终点事件发生率、疼痛程度、满意度和术前、术后桡动脉及远端桡动脉血管管径和血流流速情况。结果dTRA组穿刺时间和手术时间显著大于TRA组(P<0.05),2组患者穿刺成功率相比无统计学差异(P>0.05)。与TRA组相比,dTRA组受线时间、术后3 d内穿刺相关并发症发生率和出院前主要终点事件发生率无统计学差异(P>0.05),dTRA组术后动脉压迫时间明显减少、疼痛评分明显降低,满意度评分明显增加(P<0.05)。TRA组与dTRA组术后3 d较术前桡动脉管径和远端桡动脉管径均变小(P<0.05),远端桡动脉血流速度均变快,桡动脉血流速度无明显改变(P>0.05)。结论dTRA与TRA全脑血管造影术均具有较好的安全性及有效性,dTRA与TRA相比具有更低的疼痛程度和较高的满意度,可作为脑血管造影的入路途径,具有较好的临床应用前景。Objective To compare the effectiveness of cerebral angiography through the radial artery(TRA)and distal radial artery(dTRA)approaches.Methods Totally 124 patients who underwent cerebral angiography in Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine from January 2021 to December 2022 were selected and divided into TRA group(n=65)and dTRA group(n=59)based on the different approaches of cerebral angiography.The puncture time,procedure time,puncture success rate,thread receiving time,postoperative arterial compression time,incidence of puncture related complications within 3 days after surgery,incidence of major endpoint events before discharge,degree of pain,satisfaction,as well as artery vessel diameter and blood flow velocity before and after DSA between the two groups were compared.Results Compared with the TRA group,the puncture time and procedure time in the dTRA group were significantly longer(P<0.05),and there was no difference in the success rate of puncture between the two groups(P>0.05).There were no significant differences in the time of X-ray exposure,incidence of puncture related complications within 3 days after surgery,and incidence of primary endpoint events before discharge between the two groups(P>0.05).However,the postoperative arterial compression time and pain score reduce,and satisfaction score group increased in the dTRA group(P<0.05).The diameter of the radial artery and the distal radial artery in the TRA group and dTRA group decreased compared to preoperative values 3 days after surgery(P<0.05),and the blood flow velocity of the distal radial artery increased,but there was no significant change in the blood flow velocity of the radial artery(P>0.05).Conclusion Both dTRA and TRA cerebral angiography have good safety and effectiveness,and dTRA has lower pain levels and higher satisfaction compared to TRA.It can be used as an approach for cerebral angiography and has good clinical application prospects.

关 键 词：脑血管疾病 脑血管造影术 远端桡动脉 桡动脉 安全性 有效性 

分 类 号：R743[医药卫生—神经病学与精神病学]