中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
10期
5-7
,共3页
李鹏%王文宏%刘勇%杨东妮
李鵬%王文宏%劉勇%楊東妮
리붕%왕문굉%류용%양동니
桡动脉%股动脉%冠状动脉介入治疗%急性心肌梗死
橈動脈%股動脈%冠狀動脈介入治療%急性心肌梗死
뇨동맥%고동맥%관상동맥개입치료%급성심기경사
Radial artery%Femoral artery%Percutaneous coronary intervention%Acute myocardial infarction
目的 探讨经桡动脉途径对急性心肌梗死患者行直接经皮冠状动脉介入(PCI)治疗的可行性及安全性.方法选取于我院确诊急性心肌梗死患者90例,分为两组:A组(桡动脉径路组)35例,B组(股动脉径路组)55例,比较两组临床基础资料、穿刺成功率、病变特征、PCI术成功率、术后及术后1年内并发症及事件主要心血管(MACE).结果 两组基础资料相似,A、B两组穿刺置管成功率为97.1% vs 100%,穿刺时间为(3.0±1.5)min vs (2.5±1.1)min,手术成功率为94.2% vs 98.2%,两组比较差异均无统计学意义(P>0.05),两组病变特征比较差异无统计学意义,术后平均卧床时间A组(4.5±1.1)h明显短于B组(13.5±3.4)h,术后与穿刺相关的并发症A组明显低于B组(P<0.05),术后1年内主要心血管事件两组比较差异无统计学意义(P>0.05).结论经桡动脉(TRA)对急性心肌梗死患者行直接PCI治疗成功率与经股动脉(TFA)途径相似,并发症少,有良好的安全性及可行性.
目的 探討經橈動脈途徑對急性心肌梗死患者行直接經皮冠狀動脈介入(PCI)治療的可行性及安全性.方法選取于我院確診急性心肌梗死患者90例,分為兩組:A組(橈動脈徑路組)35例,B組(股動脈徑路組)55例,比較兩組臨床基礎資料、穿刺成功率、病變特徵、PCI術成功率、術後及術後1年內併髮癥及事件主要心血管(MACE).結果 兩組基礎資料相似,A、B兩組穿刺置管成功率為97.1% vs 100%,穿刺時間為(3.0±1.5)min vs (2.5±1.1)min,手術成功率為94.2% vs 98.2%,兩組比較差異均無統計學意義(P>0.05),兩組病變特徵比較差異無統計學意義,術後平均臥床時間A組(4.5±1.1)h明顯短于B組(13.5±3.4)h,術後與穿刺相關的併髮癥A組明顯低于B組(P<0.05),術後1年內主要心血管事件兩組比較差異無統計學意義(P>0.05).結論經橈動脈(TRA)對急性心肌梗死患者行直接PCI治療成功率與經股動脈(TFA)途徑相似,併髮癥少,有良好的安全性及可行性.
목적 탐토경뇨동맥도경대급성심기경사환자행직접경피관상동맥개입(PCI)치료적가행성급안전성.방법선취우아원학진급성심기경사환자90례,분위량조:A조(뇨동맥경로조)35례,B조(고동맥경로조)55례,비교량조림상기출자료、천자성공솔、병변특정、PCI술성공솔、술후급술후1년내병발증급사건주요심혈관(MACE).결과 량조기출자료상사,A、B량조천자치관성공솔위97.1% vs 100%,천자시간위(3.0±1.5)min vs (2.5±1.1)min,수술성공솔위94.2% vs 98.2%,량조비교차이균무통계학의의(P>0.05),량조병변특정비교차이무통계학의의,술후평균와상시간A조(4.5±1.1)h명현단우B조(13.5±3.4)h,술후여천자상관적병발증A조명현저우B조(P<0.05),술후1년내주요심혈관사건량조비교차이무통계학의의(P>0.05).결론경뇨동맥(TRA)대급성심기경사환자행직접PCI치료성공솔여경고동맥(TFA)도경상사,병발증소,유량호적안전성급가행성.
Objective To investigate the safety and feasibility of direct percutanous coronary intervention (PCI) by radial artery approaching in patients with acute myocardial infarction. Methods Ninety patients with acute myocardial infarction were divided into two groups: group A(trans-radial approach group)with 35 cases and group B(trans-femoral approach group)with 55 cases.Clinical datas, puncture results, characteristics of target lesion, status of PCI, successful rate of operation, complication after operation and during one year follow-up were observed. Results The clinical datas were similar, the successful rates of puncture were 97.1%(group A) vs 100%(group B), the puncture times was(3.0±1.5)min (group A) vs (2.5±1.1) min (group B), the successful rates of PCI were 94.2%(group A)vs 98.2%(group B), there was no significant difference between the two groups(P>0.05). There were no significant differences of relative infarction and characteristic of target lesion, while the average bed-time after procedure in group A was shorter than that in group B [(4.5±1.1)h vs(13.5±3.4)h]. The ratio of relative complication on pucture and procedure in group A was lower than group B (P<0.05).The major cardiovascular events (MACE) had no significant difference between the two groups during 1 year following-up. Conclusions The successful rate of trans-radial PCI in patients with acute myocardial infarction is the same as trans-femoral PCI. Trans-radial PCI has less puncture relative complication and is safe and feasible for patients with acute myocardial infarction.