中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
1期
30-31
,共2页
桡动脉%股动脉%经皮冠状动脉介入治疗%冠心病
橈動脈%股動脈%經皮冠狀動脈介入治療%冠心病
뇨동맥%고동맥%경피관상동맥개입치료%관심병
Radial artery%Femoral artery%Percutaneous coronary intervention%Coronary heart
目的 观察经桡动脉与股动脉穿刺行经皮冠状动脉介入治疗(PCI)的临床特点.方法 共选择PCI患者218例,其中桡动脉组106例,股动脉组112例,比较两组患者的穿刺时间、PCI操作时间、X线曝光时间、对比剂用量、术中冠状动脉并发症及术后局部并发症.结果 两组X线曝光时间、造影剂用量、术中冠状动脉并发症比较差异无统计学意义(P＞0.05)；与股动脉组相比,桡动脉组穿刺时间、PCI操作时间较长(P＜0.05),局部并发症明显少于股动脉组(P＜0.01).结论 经桡动脉PCI是安全可行的,可作为择期PCI的首选介入径路.
目的 觀察經橈動脈與股動脈穿刺行經皮冠狀動脈介入治療(PCI)的臨床特點.方法 共選擇PCI患者218例,其中橈動脈組106例,股動脈組112例,比較兩組患者的穿刺時間、PCI操作時間、X線曝光時間、對比劑用量、術中冠狀動脈併髮癥及術後跼部併髮癥.結果 兩組X線曝光時間、造影劑用量、術中冠狀動脈併髮癥比較差異無統計學意義(P＞0.05)；與股動脈組相比,橈動脈組穿刺時間、PCI操作時間較長(P＜0.05),跼部併髮癥明顯少于股動脈組(P＜0.01).結論 經橈動脈PCI是安全可行的,可作為擇期PCI的首選介入徑路.
목적 관찰경뇨동맥여고동맥천자행경피관상동맥개입치료(PCI)적림상특점.방법 공선택PCI환자218례,기중뇨동맥조106례,고동맥조112례,비교량조환자적천자시간、PCI조작시간、X선폭광시간、대비제용량、술중관상동맥병발증급술후국부병발증.결과 량조X선폭광시간、조영제용량、술중관상동맥병발증비교차이무통계학의의(P＞0.05)；여고동맥조상비,뇨동맥조천자시간、PCI조작시간교장(P＜0.05),국부병발증명현소우고동맥조(P＜0.01).결론 경뇨동맥PCI시안전가행적,가작위택기PCI적수선개입경로.
Objective To observe the clinical features of percutaneous coronary intervention (PCI) by transradial and transfemoral approaches.Methods Two hundred and eighteen patients underwent PCI were divided into two groups,106 cases of transradial group,112 cases of transfemoral group.The time of puncture and PCI operation,X - ray exposure time,dosage of contrast media,coronary artery and regional complications were compared between the two groups.Results The time of puncture and PCI operation of transradial group was longer than the transfemoral group( P ＜ 0.05 ),while the regional complications was less than the latter( P ＜ 0.01 ).Conclusions PCI by transradial is safe and feasible,it can be used as the first choice of elective PCI.
