经桡动脉介入治疗对冠心病手术成功率及预后的改善
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摘要
目的对经桡动脉介入治疗对冠心病患者手术成功率、并发症及预后的改善作用进行探讨。方法以我科2015年5月—2016年12月接收的160例冠心病患者为对象,将其随机分为观察组(80例)与对照组(80例),其中观察组患者经桡动脉介入治疗,对照组患者经股动脉介入治疗,对两组患者手术成功率、并发症情况及预后情况进行观察与比较。结果观察组患者手术全部成功,手术成功率达100%;对照组中1例患者因穿刺不成功而导致手术失败,手术成功率为98.75%,两组患者在手术成功率对比,差异无统计学意义(P>0.05)。在并发症发生率上,观察组为2.5%,对照组为13.75%,观察组比对照组低(P<0.05)。随访期间心血管不良事件发生率,观察组为1.25%,对照组为7.5%,观察组低于对照组(P<0.05)。结论经桡动脉介入治疗,不仅手术成功率高,且并发症发生率低,预后较好。
Objective To explore the effect of transradial artery intervention on the success rate, complication and prognosis of patients with coronary heart disease. Methods A total of 160 patients with coronary heart disease who were received from May 2015 to December 2016 were randomly divided into observation group(n = 80) and control group(n = 80). The patients in the observation group were treated with radial artery Interventional therapy, the control group of patients underwent femoral intervention, the two groups of patients with surgical success rate, complications and prognosis were observed and compared. Results The success rate of operation was 100% in the observation group. In the control group, 1 case were failed because of the failure of the puncture,success rate of the operation was 98.75%. The success rate of the two groups was not significant(P > 0.05). The incidence of complications was 2.5% in the observation group and 13.75% in the control group, which was significantly lower than that in the control group(P <0.05). The incidence of cardiovascular adverse events during follow-up was 1.25% in the observation group and 7.5% in the control group. The observation group was significantly lower than the control group(P <0.05). Conclusion The intervention of radial artery, not only the success rate of surgery is high, and the incidence of complications is low, the prognosis is good.
Objective To explore the effect of transradial artery intervention on the success rate, complication and prognosis of patients with coronary heart disease. Methods A total of 160 patients with coronary heart disease who were received from May 2015 to December 2016 were randomly divided into observation group(n = 80) and control group(n = 80). The patients in the observation group were treated with radial artery Interventional therapy, the control group of patients underwent femoral intervention, the two groups of patients with surgical success rate, complications and prognosis were observed and compared. Results The success rate of operation was 100% in the observation group. In the control group, 1 case were failed because of the failure of the puncture,success rate of the operation was 98.75%. The success rate of the two groups was not significant(P > 0.05). The incidence of complications was 2.5% in the observation group and 13.75% in the control group, which was significantly lower than that in the control group(P <0.05). The incidence of cardiovascular adverse events during follow-up was 1.25% in the observation group and 7.5% in the control group. The observation group was significantly lower than the control group(P <0.05). Conclusion The intervention of radial artery, not only the success rate of surgery is high, and the incidence of complications is low, the prognosis is good.
引文
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[2]董金虎.经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素[J].中国继续医学教育,2015,7(11):34-35.
[3]蔡裕福,谢晓霞,陈文威.桡动脉入路行经皮冠状动脉介入术治疗老年冠心病并慢性左心衰竭患者疗效观察[J].中华实用诊断与治疗杂志,2015,29(3):265-267.
[4]贺素媛,易欣,任珊,等.老年冠心病经桡动脉和经股动脉介入治疗Meta分析[J].临床误诊误治,2013,26(1):61-65.
[5]朱晓东,郭施勉,杜曼,等.经皮桡动脉穿刺介入治疗冠心病的疗效分析[J].当代医学,2012,18(34):44-45.
[6]钟继明,李浪,陆永光,等.经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素[J].介入放射学杂志,2011,20(4):265-268.
[7]王保纪.桡动脉和颈动脉与冠心病的相关性分析[D].洛阳:河南科技大学,2011.
[8]叶岚,李广平,刘彤,等.桡动脉增强指数的影响因素及其在男性冠心病者中的应用[J].中国动脉硬化杂志,2010,18(4):303-306.