经鼻烟壶动脉行冠状脉造影术的临床研究  

Clinical study of coronary angiography through the snuffbox artery

作　　者：李柏林 蔡薇 仇巧玲 邓霞 刘鸿涛 LI Bolin;CAI Wei;QIU Qiaoling;DENG Xia;LIU Hongtao(Cardiovascular Department,Longhua District Central Hospital of Shenzhen,Shenzhen 518000,China)

机构地区：[1]深圳市龙华区中心医院心血管内科,广东深圳518000

出　　处：《黑龙江医药科学》2025年第2期19-21,共3页Heilongjiang Medicine and Pharmacy

基　　金：深圳市龙华区医疗卫生机构区级科研项目,编号:2020157。

摘　　要：目的:研究和评估经鼻烟壶动脉进行冠状动脉造影术的可行性及安全性。方法:选取深圳市龙华区中心医院心血管内科接受冠状动脉造影术的240例患者,随机分成观察组和对照组,每组120例,观察组采用经鼻烟壶动脉进行冠状动脉检查,对照组选取经桡动脉进行冠状动脉检查,对两组的动脉穿刺成功率、穿刺时间、并发症发生率进行比较研究,同时还评估手术期间及术后3 h的疼痛感受舒适度,以及手术后进行局部加压包扎止血时间。结果:观察组与对照组穿刺时间的对比为(4.64±1.56)min、(4.06±1.70)min,术后局部压迫止血时间为(2.09±0.34)h、(5.02±0.57)h,手术期间及术后3 h的疼痛感受舒适度,差异均有统计学意义(P<0.05);穿刺成功率分别为96.6%、100.0%,并发症发生的比例分别为0.8%、3.3%,差异无统计学意义(P>0.05)。结论:经鼻烟壶动脉穿刺术后止血周期相对较短,舒适感受较为明显,护理方便,并发症少,节省医疗费用,为临床介入诊疗提供更多选择。Objective:To research and evaluate the feasibility and safety of coronary angiography through the snuffbox artery.Methods:240 patients undergoing coronary angiography in the Department of Cardiovascular Medicine at Shenzhen Longhua District Central Hospital were randomly divided into observation group and a control group,with 120 patients in each group.The observation group underwent coronary artery examination via snuffbox artery,while the control group underwent coronary artery examination via radial artery.A comparative study was conducted on the success rate of arterial puncture,puncture time and complication rate in the two groups.The comfort level of pain during and three hours after surgery,as well as the time required for local pressure dressing and hemostasis after surgery,were also evaluated.Results:There were statistically significant differences between the two groups in terms of puncture time(4.64±1.56)min for the observation group and(4.06±1.70)min for the control group,post-operative local compression hemostasis time(2.09±0.34)h for the observation group and(5.02±0.57)h for the control group,and comfort level of pain during surgery and three hours after surgery(P<0.05).However,there were no statistically significant differences in the success rates of puncture(96.6%for the observation group and 100%for the control group)and complication rates(0.8%for the observation group and 3.3%for the control group)(P>0.05).Conclusion:Nasopharyngeal artery puncture procedure has the advantages of relatively short post-hemostasis cycle,obvious comfort,convenient nursing,few complications and cost savings,which provides more options for clinical intervention diagnosis and treatment.

关 键 词：鼻烟壶动脉 冠状动脉造影 并发症 桡动脉 动脉闭塞 

分 类 号：R543.3[医药卫生—心血管疾病]