鼻烟窝远端桡动脉穿刺在冠状动脉介入治疗中的临床价值研究  

Study on the clinical value of distal radial artery puncture in the anatomical snuffbox in the treatment of percutaneous coronary intervention

作　　者：沈琦博 倪嘉俊 梁佳佳 吴自豪 袁晓宇[2] 郑扣龙 SHEN Qibo;NI Jiajun;LIANG Jiajia;WU Zihao;YUAN Xiaoyu;ZHENG Koulong(Department of Cardiology,Affiliated Qidong Hospital of Nantong University,Qidong People's Hospital,Qidong Liver Cancer Institute,Jiangsu 226200;Department of Emergency Medicine,Affiliated Hospital of Nantong University;Department of Cardiology,Affiliated Hospital 2 of Nantong University,Nantong First People's Hospital)

机构地区：[1]南通大学附属启东医院,启东市人民医院,启东肝癌防治研究所心血管内科,江苏226200 [2]南通大学附属医院急诊科 [3]南通大学第二附属医院,南通市第一人民医院心血管内科

出　　处：《南通大学学报(医学版)》2025年第2期160-162,共3页Journal of Nantong University(Medical sciences)

基　　金：南通市卫生健康委员会科研课题计划资助项目(MS023014)。

摘　　要：目的:分析冠状动脉介入治疗中应用鼻烟窝远端桡动脉穿刺的临床应用价值。方法:选择启东市人民医院心血管内科在2022年3月—2024年3月期间就诊的80例冠状动脉介入治疗患者,基于随机数字表法分为两组,各40例。对照组接受经桡动脉入径行冠状动脉介入治疗,观察组接受鼻烟窝远端桡动脉穿刺行冠状动脉介入治疗,比较两组穿刺次数、穿刺时长、手术时长、造影剂量、X线曝光时间、术后动脉压迫时长、住院天数、数字疼痛分级评分、并发症发生率。结果:观察组穿刺次数、穿刺时长、术后动脉压迫时长、住院天数均小于对照组(均P<0.05)。两组手术时长、造影剂量、X线曝光时间相比差异均无统计学意义(均P>0.05)。观察组治疗后数字疼痛分级法评分低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论:冠状动脉介入治疗中应用鼻烟窝远端桡动脉穿刺效果好,并发症发生率低,且疼痛程度轻,具有临床推广价值。Objective:To analyze the clinical application value of distal radial artery puncture in the anatomical snuffbox in the treatment of percutaneous coronary intervention.Methods:A total of 80 patients with coronary interventional therapy from the Cardiovascular Department of Qidong People's Hospital between March 2022 and March 2024 were selected and randomly divided into two groups based on a random number table,40 cases each.The control group received percutaneous coronary intervention via radial artery approach,while the observation group received percutaneous coronary intervention via distal radial artery puncture in the anatomical snuffbox.The number of punctures,puncture time,surgical time,contrast agent dosage,X-ray exposure time,postoperative arterial duration,hospitalization time,digital pain rating score,and incidence of complications were compared.Results:The number of punctures,puncture time,postoperative arterial duration,and hospital stay in the observation group were all significantly lower than those in the control group(P<0.05).The surgical time,contrast agent dosage,and X-ray exposure time have no significant difference between the two groups(P>0.05).The digital pain rating score of the observation group was significantly lower than that of the control group after treatment(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The application of distal radial artery puncture in the anatomical snuffbox during percutaneous coronary intervention has good results,lower incidence of complications,and lower pain grading score,which deserve generalizing in clinical practive.

关 键 词：冠状动脉介入治疗 鼻烟窝 桡动脉穿刺 术后效果 

分 类 号：R543[医药卫生—心血管疾病]