中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
7期
5-6
,共2页
高龄患者%急性冠脉综合征%经皮冠状动脉介入治疗%桡动脉
高齡患者%急性冠脈綜閤徵%經皮冠狀動脈介入治療%橈動脈
고령환자%급성관맥종합정%경피관상동맥개입치료%뇨동맥
Elderly patient%Acute coronary syndrome%Percutaneous coronary intervention%Radial artery
目的 评价经桡动脉行经皮冠状动脉介入(PCI)治疗高龄急性冠脉综合征(ACS)患者的可行性和安全性.方法 将76例高龄ACS患者分为经桡动脉途径行PCI治疗组(桡动脉组,36例)与经股动脉途径行PCI治疗组(股动脉组,40例),观察两组手术成功率、操作时间和手术后并发症.结果 两组患者接受PCI的成功率、操作时间比较差异无统计学意义,术后桡动脉组出血等并发症明显减少,差异有统计学意义.结论 经桡动脉途径行PCI治疗安全、痛苦小,且并发症少,患者容易接受,可作为高龄ACS患者行PCI的首选途径.
目的 評價經橈動脈行經皮冠狀動脈介入(PCI)治療高齡急性冠脈綜閤徵(ACS)患者的可行性和安全性.方法 將76例高齡ACS患者分為經橈動脈途徑行PCI治療組(橈動脈組,36例)與經股動脈途徑行PCI治療組(股動脈組,40例),觀察兩組手術成功率、操作時間和手術後併髮癥.結果 兩組患者接受PCI的成功率、操作時間比較差異無統計學意義,術後橈動脈組齣血等併髮癥明顯減少,差異有統計學意義.結論 經橈動脈途徑行PCI治療安全、痛苦小,且併髮癥少,患者容易接受,可作為高齡ACS患者行PCI的首選途徑.
목적 평개경뇨동맥행경피관상동맥개입(PCI)치료고령급성관맥종합정(ACS)환자적가행성화안전성.방법 장76례고령ACS환자분위경뇨동맥도경행PCI치료조(뇨동맥조,36례)여경고동맥도경행PCI치료조(고동맥조,40례),관찰량조수술성공솔、조작시간화수술후병발증.결과 량조환자접수PCI적성공솔、조작시간비교차이무통계학의의,술후뇨동맥조출혈등병발증명현감소,차이유통계학의의.결론 경뇨동맥도경행PCI치료안전、통고소,차병발증소,환자용역접수,가작위고령ACS환자행PCI적수선도경.
Objective To investigate the safety and feasibility of transradial percutaneous coronary intervention ( PCI ) in treating elderly patients with acute coronary syndrome.Methods PCI was performed in 76 elderly patients with acute coronary syndrome.There were 36 cases in transradial PCI (TRA-pPCI) group and 40 cases in transfemoral PCI (TFA-pPCI) group.The success rate,operation time and incidence of postoperative complications were observed.Results There were no significant differences in the successful rates and operation time of PCI between the two groups.However,the complication rate in TRA-pPCI group was decreased significantly than that in TFA-pPCI group.Conclusions Transradial PCI is safe,less painful and with less complications,which is easily accepted by patients,so it should be the first choice for elderly patients with acute coronary syndrome underwent PCI.
