摘要
目的:探讨在基层医院开展经桡动脉冠状动脉介入治疗的可行性。方法:将244例住院的冠心病患者随机分为经桡动脉介入治疗组103例,经股动脉介入治疗组141例。观察两组手术成功率、住院天数、手术操作时间、造影剂用量、X线照射时间和并发症的发生率。结果:经桡动脉组手术成功96例,成功率为93.2%,经股动脉组手术成功139例,成功率为98.6%,两组比较无统计学意义,但桡动脉组并发症更少(P<0.05),住院天数也明显缩短(P<0.01),但手术耗时长(P<0.05),造影剂用量及X线照射时间较股动脉组高但差异无统计学意义(P>0.05)。结论:经桡动脉途径行冠状动脉介入治疗术患者痛苦少、血管并发症少,且手术成功率较高,适合在基层医院开展。
Objective： To investigate feasibility of application of coronary artery interventional therapy by radial artery in primary hospital. Methods： A total of 244 cases of hospitalized patients with coronary heart disease were randomly divided into intervention via the radial artery group （observation group, 103 case） and femoral artery interventional therapy group （control group, 141 cases）. Observe and compare the surgical success rate, hospitalization stay, surgical operation time, amount of contrast agent, X-ray irradiation time and the incidence of complications. Results： There was no significant difference between the surgical success rate of the observation group （96, 93.25%）and that of the control group （139, 98.6%）, however complication incidence of the observation group was lower （P〈0.05.）, hospitalization stay and surgical operation time was shorter than that of the control group （P all〈0.05）. There was no significant difference between the amounts of contrast agent and X-ray irradiation time （P〈0.05）. Conclusion： With less pain, lower complication incidence and higher success rate, coronary artery interventional therapy by radial artery in primary hospital intervention via the radial artery is feasible to be applied in primary hospital.
出处
《海南医学院学报》
CAS
2010年第1期65-67,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100010)~~
关键词
冠状动脉介入治疗
桡动脉
股动脉
基层医院
Coronary artery interventional therapy
Radial artery
Femoral artery
Primary hospital
