经桡动脉介入治疗冠心病的临床分析
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摘要
目的探讨经桡动脉介入治疗冠心病的临床效果。方法选取本院2014年4月~2016年3月252例冠心病患者进行随机分组,其中126例患者经桡动脉介入治疗,为经桡动脉组,其余126例经股动脉介入治疗,为经股动脉组,观察两组患者治疗效果及并发症情况。结果两组置管成功率对比无统计学差异(P>0.05);经桡动脉组术后卧床时间短于经股动脉组(P<0.05);经桡动脉组局部血肿及并发症发生率低于经股动脉组(P<0.05);经桡动脉组复发率低于经股动脉组(P<0.05)。结论经桡动脉介入治疗冠心病效果良好,并发症少,恢复时间短,复发率低,具有较高的临床应用价值。
Objective To investigate the clinical effect of transradial approach for coronary artery disease.Methods 252 cases of coronary heart disease in our hospital from April 2014 to March 2016 were randomly divided into groups.Among them,126 cases were treated by radial artery interventional therapy and regarded as transradial group.and The other 126 cases were treated by femoral artery interventional therapy and regarded as femoral artery group.The treatment effect and complications of the two groups were observed.Results There was no statistically significant difference between the two groups in the success rate of catheter placement(P<0.05).The time staying in bed of the radial artery group was shorter than that of the femoral artery group(P<0.05).The incidence rate of local hematoma and complication in radial artery group was lower than that in femoral artery group(P<0.05),and the recurrence rate in radial artery group was lower than that in femoral artery group(P<0.05).Conclusion The effect of transradial coronary intervention on coronary artery disease was good,with less complications,shorter recovery time and lower recurrence rate,which had high clinical value.
Objective To investigate the clinical effect of transradial approach for coronary artery disease.Methods 252 cases of coronary heart disease in our hospital from April 2014 to March 2016 were randomly divided into groups.Among them,126 cases were treated by radial artery interventional therapy and regarded as transradial group.and The other 126 cases were treated by femoral artery interventional therapy and regarded as femoral artery group.The treatment effect and complications of the two groups were observed.Results There was no statistically significant difference between the two groups in the success rate of catheter placement(P<0.05).The time staying in bed of the radial artery group was shorter than that of the femoral artery group(P<0.05).The incidence rate of local hematoma and complication in radial artery group was lower than that in femoral artery group(P<0.05),and the recurrence rate in radial artery group was lower than that in femoral artery group(P<0.05).Conclusion The effect of transradial coronary intervention on coronary artery disease was good,with less complications,shorter recovery time and lower recurrence rate,which had high clinical value.
引文
[1]杨常青.慢性左心衰竭的老年冠心病患者经桡动脉介入治疗35例[J].中国老年学杂志,2013,33(2):448-449.
[2]卢亮.合并慢性左心衰竭的老年冠心病患者经桡动脉介入治疗的临床评估[J].中华老年医学杂志,2012,31(1):54.
[3]卢思稼.经股动脉途径和桡动脉途径穿刺介入术治疗高龄冠心病的临床对比[J].中国老年学杂志,2015,35(9):2523.
[4]张宇.经桡、股动脉介入治疗冠心病合并慢性左心衰竭的效果对比[J].中国当代医药,2014,21(15):53-55.
[5]张凯.经皮冠状动脉介入挠动脉与股动脉入路途径的比较研究进展[J].临床套萃,2013,28(1):110.
[6]朱晓东.等经皮挠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.
[7]安敬华.经挠动脉介入治疗冠心病的临床分析[J].中国医药指南,2013,11(30):444-445.
[8]杨丽霞.经桡动脉途径介入治疗冠心病680例临床分析[J].临床军医杂志,2012,40(04):951.
[2]卢亮.合并慢性左心衰竭的老年冠心病患者经桡动脉介入治疗的临床评估[J].中华老年医学杂志,2012,31(1):54.
[3]卢思稼.经股动脉途径和桡动脉途径穿刺介入术治疗高龄冠心病的临床对比[J].中国老年学杂志,2015,35(9):2523.
[4]张宇.经桡、股动脉介入治疗冠心病合并慢性左心衰竭的效果对比[J].中国当代医药,2014,21(15):53-55.
[5]张凯.经皮冠状动脉介入挠动脉与股动脉入路途径的比较研究进展[J].临床套萃,2013,28(1):110.
[6]朱晓东.等经皮挠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.
[7]安敬华.经挠动脉介入治疗冠心病的临床分析[J].中国医药指南,2013,11(30):444-445.
[8]杨丽霞.经桡动脉途径介入治疗冠心病680例临床分析[J].临床军医杂志,2012,40(04):951.