中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
4期
28-29,32
,共3页
荆素敏%陈魁%张艺%何飞%姜正明%张雅娉%李蕾
荊素敏%陳魁%張藝%何飛%薑正明%張雅娉%李蕾
형소민%진괴%장예%하비%강정명%장아빙%리뢰
经皮冠状动脉介入%拔管时间%血管并发症%替罗非班
經皮冠狀動脈介入%拔管時間%血管併髮癥%替囉非班
경피관상동맥개입%발관시간%혈관병발증%체라비반
PCI%Removal of artery sheath catheter%Blood vessel complication%Tirofiban
目的 探讨不同时间拔除动脉鞘管对经皮冠状动脉介入治疗(PCI)术后血管并发症的影响,并探讨其与术后替罗非班应用的关系.方法 将150例急性冠状动脉综合征患者随机分为观察组(A组)73例和对照组(B组)77例,A组于PCI术后即刻拔除动脉鞘管,B组于PCI术后留置4 h后拔除动脉鞘.观察两组出血及拔管后压迫止血15 min后出血率.结果 对照组出血率较观察组明显增高,差异有统计学意义(P<0.05).拔管后压迫止血15 min后,对照组出血率较观察组明显增高,差异有统计学意义(P<0.05).结论 PCI术后即刻拔除动脉鞘管可以预防和减少血管并发症的发生,尤其应用替罗非班更适合早期拔管.
目的 探討不同時間拔除動脈鞘管對經皮冠狀動脈介入治療(PCI)術後血管併髮癥的影響,併探討其與術後替囉非班應用的關繫.方法 將150例急性冠狀動脈綜閤徵患者隨機分為觀察組(A組)73例和對照組(B組)77例,A組于PCI術後即刻拔除動脈鞘管,B組于PCI術後留置4 h後拔除動脈鞘.觀察兩組齣血及拔管後壓迫止血15 min後齣血率.結果 對照組齣血率較觀察組明顯增高,差異有統計學意義(P<0.05).拔管後壓迫止血15 min後,對照組齣血率較觀察組明顯增高,差異有統計學意義(P<0.05).結論 PCI術後即刻拔除動脈鞘管可以預防和減少血管併髮癥的髮生,尤其應用替囉非班更適閤早期拔管.
목적 탐토불동시간발제동맥초관대경피관상동맥개입치료(PCI)술후혈관병발증적영향,병탐토기여술후체라비반응용적관계.방법 장150례급성관상동맥종합정환자수궤분위관찰조(A조)73례화대조조(B조)77례,A조우PCI술후즉각발제동맥초관,B조우PCI술후류치4 h후발제동맥초.관찰량조출혈급발관후압박지혈15 min후출혈솔.결과 대조조출혈솔교관찰조명현증고,차이유통계학의의(P<0.05).발관후압박지혈15 min후,대조조출혈솔교관찰조명현증고,차이유통계학의의(P<0.05).결론 PCI술후즉각발제동맥초관가이예방화감소혈관병발증적발생,우기응용체라비반경괄합조기발관.
Objective To investigate the effects of removing artery sheath catheter at different time points on blood vessel complications after PCI operation and evaluate whether tirofiban was associated with them. Methods The study was a parallel - group, randomized, controlled clinical trial, 150 patients with ACS who underwent selective PCI were randomly assigned to one of two treatment regimens , tirofiban was predominantly initiated in the catheter laboratory after the patients underwent selective PCI. In observation group of 73 patients, artery sheath catheter was removed immediate after PCI, while in control group of 77 patients, it was removed 4 h after PCI. The incidence of blood vessel complications in two groups were compared. Results There were more bleeding events happened in the control group compared with the observative group, and there was significantly differences between the two groups ( P<0.05 ).Conclusions Immediate removal of the artery sheath catheter after PCI operation could prevent and reduce the occurrence of the blood vessel complications and is more suitable for patients treated with tirofiban.