摘要
目的评估经右桡动脉途径行冠状动脉介入治疗老年冠心病的临床效果。方法将住院接受冠状动脉介入治疗的老年冠心病患者256例完全随机分为桡动脉组（n=128）和股动脉组（n=128），比较2组穿刺成功率、穿刺时间、冠状动脉造影成功率、冠状动脉造影时间、X线曝光时间、剂量面积乘积（DAP）、造影花费、住院时间以及并发症的发生率。结果2组间的穿刺成功率、冠状动脉造影成功率、冠状动脉造影时间、DAP、X线曝光时间差异无统计学意义（P〉0．05）；相比于股动脉途径，桡动脉路径延长了穿刺时间[（3．94±1．09）min vs．（2．67±0．64）min，P〈0．01]，但明显缩短了住院时间[（3．78±0．63）天vs．（4．41±0．71）天，P〈0．01]、造影花费[（4747．09±122．06）元vs．（7315．65±96．75）元，P〈0．01]以及总的并发症发生率（3．31％vs．12．69％，P〈0．01）。结论经右桡动脉途径行冠状动脉介入治疗总并发症少、费用低，是老年冠心病患者的优选途径。
Objective To evaluate clinical effects of fight radial approach for percutaneous coronary intervention in elderly patients with coronary heart disease. Methods A total of 256 coronary heart disease patients who were scheduled to undergo coronary angiography were randomly divided into a transradial group and or a transfemoral group （ n = 128 ）. Then, the two groups were compared for the successful rate and time of puncturation, the successful rate and time of coronary angiography, X -ray exposure time, dose area product （DAP）, the cost of angiography, the duration of hospitalization and the rate of complications. Results There were no significant differences in the successful rate and time of puncturation, the time of coronary angiography, DAP, X - ray exposure time （ P 〉 0.05 ）. Compared with the transfemoral group, the transradial group showed extended puncture time [ （3.94 ± 1.09） rain vs. （2.67 ±0.64） rain, P 〈0.01 ], but significantly reduced duration of hospitalization [ （ 3.78 ± 0.63 ） d vs. 4.41± 0.71 d, P 〈 0.01 ], the cost of angiography [ （4 747.09 ± 122.06） yuan vs. （7315.65 ±96.75） yuan, P 〈0.01 ] and the total complication rate （3.31% vs. 12.69%, P 〈 0.01 ）. Conclusions Right radial approach for percutaneous coronary intervention reduces the total complication rate with low cost, which is the optimal approach for elderly patients with coronary heart disease.
出处
《徐州医学院学报》
CAS
2017年第2期84-87,共4页
Acta Academiae Medicinae Xuzhou
关键词
冠心病
老年
经皮冠状动脉介入治疗
桡动脉
冠状动脉造影
coronary heart disease
elderly
percutaneous coronary intervention
radial artery
coronary angiography
