冠心病经皮桡动脉穿刺介入治疗疗效及安全性评价(1)
【摘要】 目的：探讨冠心病经皮桡动脉穿刺介入治疗疗效及安全性。方法：选取2015年5月-2016年5月本院收治的100例冠心病患者及2015年11月-2016年5月朝阳医院收治的100例冠心病患者作为研究对象，根据治疗方法的差异分为观察组与对照组两组，每组100例。观察患者应用经皮桡动脉穿刺介入治疗，对照组应用经股动脉穿刺介入治疗，观察对比两组患者的临床治疗效果。结果：两组患者手术成功率、手术时间、平均住院时间、置入支架、穿刺成功率等指标比较差异均无统计学意义(P>0.05)；观察组患者平均穿刺时间明显低于对照组，两组比较差异有统计学意义(P<0.05)；观察组并发症发生率为4.0%明显低于对照组15.0%，两组比较差异有统计学意义(P<0.05)。结论：与股动脉穿刺介入治疗相比，应用经皮桡动脉穿刺介入治疗冠心病，并发症更少，安全性更高。
【关键词】 冠心病； 桡动脉穿刺； 介入治疗
【Abstract】 Objective：To evaluate percutaneous transradial coronary heart disease interventional therapy efficacy and safety.Method：100 cases of coronary heart disease patients in our hospital from May 2015 to May 2016 were selected and 100 cases of coronary heart disease patients in Chaoyang Hospital from November 2015 to May 2016 were selected for the study，based on differences in treatment methods they were divided into observation group and control group，100 cases in each group.The observation group was given percutaneous radial artery interventional therapy，control group was given femoral artery puncture intervention，the clinical outcomes of two groups were observed and compared.Result：The success rate of surgery patients， operative time， the average length of stay， stent placement index difference， puncture success rate of two groups were not statistically significant(P>0.05)；the average time to puncture of observation group was significantly lower than control group，the difference was statistically significant(P<0.05)；the complication rate of observation group was 4.0% significantly lower than control group of 15.0%，the difference was statistically significant comparison(P<0.05).Conclusion：The femoral artery puncture and interventional therapy compared radial artery puncture percutaneous interventional treatment of coronary heart disease，fewer complications，and more secure.
【Key words】 Coronary heart disease； Radial artery puncture； Interventional therapy
First-author’s address：People’s Hospital of Shanwei，Shanwei 516600，China
doi：10.3969/j.issn.1674-4985.2016.34.010
冠狀动脉粥样硬化性心脏病简称冠心病，表现为慢性稳定性心绞痛，或急性冠脉综合征，即急性ST段抬高型心肌梗死及急性非ST段抬高型心肌梗死，目前临床治疗冠心病的方法，不外乎药物治疗，介入治疗及外科搭桥术。冠心病介入治疗是当今冠心病最常用、最重要的治疗措施。PCI是Percutaneous Coronary Intervention这三个英文单词的第一个大写字母的缩写，中文译名为“经皮冠状动脉介入治疗术”。它是冠脉介入治疗方法的总称，包括经皮冠状动脉腔内成形术(PTCA)、冠脉内支架植入术、经皮冠状动脉腔内旋切术、经皮冠状动脉腔内旋磨术等介入治疗措施。经皮腔内冠状动脉成形术是用物理的方法，将狭窄的血管扩开，增加局部的血流，减少心肌梗死，降低死亡率，它的疗效比药物更直接，而风险又比搭桥手术小，经皮腔内冠状动脉成形术分别为经桡动脉穿刺介入治疗和经股动脉穿刺介入治疗[1-2]。本研究探讨冠心病经皮桡动脉穿刺介入治疗疗效及安全性，现具体报道如下。
1 资料与方法
1.1 一般资料 选取2015年5月-2016年5月本院收治的100例冠心病患者及2015年11月-2016年5月北京朝阳医院收治的100例冠心病患者作为研究对象，所有患者根据介入手术入路的差异分为经皮桡动脉穿刺介入的观察组，以及经股动脉穿刺介入的对照组，每组各100例。其中观察组男54例，女46例，年龄38～67岁，平均(51.6±3.2)岁；对照组男51例，女49例，年龄41～68岁，平均(52.3±2.4)岁。两组性别、年龄等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。本研究经医院伦理委员会批准，患者及家属知情同意。, http://www.100md.com(陈庆研 张智勇)
【关键词】 冠心病； 桡动脉穿刺； 介入治疗
【Abstract】 Objective：To evaluate percutaneous transradial coronary heart disease interventional therapy efficacy and safety.Method：100 cases of coronary heart disease patients in our hospital from May 2015 to May 2016 were selected and 100 cases of coronary heart disease patients in Chaoyang Hospital from November 2015 to May 2016 were selected for the study，based on differences in treatment methods they were divided into observation group and control group，100 cases in each group.The observation group was given percutaneous radial artery interventional therapy，control group was given femoral artery puncture intervention，the clinical outcomes of two groups were observed and compared.Result：The success rate of surgery patients， operative time， the average length of stay， stent placement index difference， puncture success rate of two groups were not statistically significant(P>0.05)；the average time to puncture of observation group was significantly lower than control group，the difference was statistically significant(P<0.05)；the complication rate of observation group was 4.0% significantly lower than control group of 15.0%，the difference was statistically significant comparison(P<0.05).Conclusion：The femoral artery puncture and interventional therapy compared radial artery puncture percutaneous interventional treatment of coronary heart disease，fewer complications，and more secure.
【Key words】 Coronary heart disease； Radial artery puncture； Interventional therapy
First-author’s address：People’s Hospital of Shanwei，Shanwei 516600，China
doi：10.3969/j.issn.1674-4985.2016.34.010
冠狀动脉粥样硬化性心脏病简称冠心病，表现为慢性稳定性心绞痛，或急性冠脉综合征，即急性ST段抬高型心肌梗死及急性非ST段抬高型心肌梗死，目前临床治疗冠心病的方法，不外乎药物治疗，介入治疗及外科搭桥术。冠心病介入治疗是当今冠心病最常用、最重要的治疗措施。PCI是Percutaneous Coronary Intervention这三个英文单词的第一个大写字母的缩写，中文译名为“经皮冠状动脉介入治疗术”。它是冠脉介入治疗方法的总称，包括经皮冠状动脉腔内成形术(PTCA)、冠脉内支架植入术、经皮冠状动脉腔内旋切术、经皮冠状动脉腔内旋磨术等介入治疗措施。经皮腔内冠状动脉成形术是用物理的方法，将狭窄的血管扩开，增加局部的血流，减少心肌梗死，降低死亡率，它的疗效比药物更直接，而风险又比搭桥手术小，经皮腔内冠状动脉成形术分别为经桡动脉穿刺介入治疗和经股动脉穿刺介入治疗[1-2]。本研究探讨冠心病经皮桡动脉穿刺介入治疗疗效及安全性，现具体报道如下。
1 资料与方法
1.1 一般资料 选取2015年5月-2016年5月本院收治的100例冠心病患者及2015年11月-2016年5月北京朝阳医院收治的100例冠心病患者作为研究对象，所有患者根据介入手术入路的差异分为经皮桡动脉穿刺介入的观察组，以及经股动脉穿刺介入的对照组，每组各100例。其中观察组男54例，女46例，年龄38～67岁，平均(51.6±3.2)岁；对照组男51例，女49例，年龄41～68岁，平均(52.3±2.4)岁。两组性别、年龄等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。本研究经医院伦理委员会批准，患者及家属知情同意。, http://www.100md.com(陈庆研 张智勇)