中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
5期
384-385
,共2页
何峰%张寰%李焕明%刘勇%邢晓春%罗芝宽
何峰%張寰%李煥明%劉勇%邢曉春%囉芝寬
하봉%장환%리환명%류용%형효춘%라지관
冠心病%磁共振成像,介入性%桡动脉%股动脉
冠心病%磁共振成像,介入性%橈動脈%股動脈
관심병%자공진성상,개입성%뇨동맥%고동맥
Coronary disease%Magnetic resonance imaging,interventional%Radial artery%Femoral artery
目的 比较经桡动脉和股动脉行冠状动脉介入治疗冠心病患者的临床效果及并发症.方法 将 153例行冠状动脉介入治疗的患者按其意愿分为桡动脉组(75例),平均年龄(57.3±4.5)岁和股动脉组(78例),平均年龄(55.3±5.1)岁.记录两组X线曝光时间、手术操作时间、穿刺成功率、手术成功率、并发症及卧床时间. 结果 桡动脉组和股动脉组比较X线曝光时间[(17±5)min比(16±6)min,t=0.61,P=0.57]、手术操作时间[(49±9)min比(48±11)min,t=0.59,P=0.61]、穿刺成功率(98.7％比100.0％,x2=0.47,P=0.53)和手术成功率(96.0％比96.2％,x2=0.14,P=0.64)差异无统计学意义；穿刺并发症股动脉组高于桡动脉组(17.9％比2.7％,x2=9.54,P=0.002)；桡动脉术后卧床时间明显短于股动脉组[(4.5±1.2)h比(13.2±4.6)h,t=2.12,P=0.003]. 结论 经桡动脉途径行冠脉介入治疗具有并发症少、卧床时间短的优点,安全有效可行.
目的 比較經橈動脈和股動脈行冠狀動脈介入治療冠心病患者的臨床效果及併髮癥.方法 將 153例行冠狀動脈介入治療的患者按其意願分為橈動脈組(75例),平均年齡(57.3±4.5)歲和股動脈組(78例),平均年齡(55.3±5.1)歲.記錄兩組X線曝光時間、手術操作時間、穿刺成功率、手術成功率、併髮癥及臥床時間. 結果 橈動脈組和股動脈組比較X線曝光時間[(17±5)min比(16±6)min,t=0.61,P=0.57]、手術操作時間[(49±9)min比(48±11)min,t=0.59,P=0.61]、穿刺成功率(98.7％比100.0％,x2=0.47,P=0.53)和手術成功率(96.0％比96.2％,x2=0.14,P=0.64)差異無統計學意義；穿刺併髮癥股動脈組高于橈動脈組(17.9％比2.7％,x2=9.54,P=0.002)；橈動脈術後臥床時間明顯短于股動脈組[(4.5±1.2)h比(13.2±4.6)h,t=2.12,P=0.003]. 結論 經橈動脈途徑行冠脈介入治療具有併髮癥少、臥床時間短的優點,安全有效可行.
목적 비교경뇨동맥화고동맥행관상동맥개입치료관심병환자적림상효과급병발증.방법 장 153례행관상동맥개입치료적환자안기의원분위뇨동맥조(75례),평균년령(57.3±4.5)세화고동맥조(78례),평균년령(55.3±5.1)세.기록량조X선폭광시간、수술조작시간、천자성공솔、수술성공솔、병발증급와상시간. 결과 뇨동맥조화고동맥조비교X선폭광시간[(17±5)min비(16±6)min,t=0.61,P=0.57]、수술조작시간[(49±9)min비(48±11)min,t=0.59,P=0.61]、천자성공솔(98.7％비100.0％,x2=0.47,P=0.53)화수술성공솔(96.0％비96.2％,x2=0.14,P=0.64)차이무통계학의의；천자병발증고동맥조고우뇨동맥조(17.9％비2.7％,x2=9.54,P=0.002)；뇨동맥술후와상시간명현단우고동맥조[(4.5±1.2)h비(13.2±4.6)h,t=2.12,P=0.003]. 결론 경뇨동맥도경행관맥개입치료구유병발증소、와상시간단적우점,안전유효가행.
Objective To analyze the clinical effect and complication of trans-radial and femoral artery for percutaneous coronary intervention (PCI) in patients with coronary heart disease.Methods Totally 153 patients with coronary heart disease undergoing PCI were divided into radial artery and femoral artery groups.X-ray exposure time,operation time,the success rates of puncture and operation,in-bed time and complication were recorded. Results There were no significant differences in X-ray exposure time[(17±5)min vs.(16±6)min,t=0.61,P=0.57],operation time [(49± 9) min vs. (48 ± 11) min,t=0.59,P =0.61],the success rates of puncture (98.7％ vs.100.0％,x2 =0.47,P=0.53) and operation (96.0％ vs.96.2％,x2 =0.14,P=0.64) between radial artery and femoral artery groups.However,the complication rates was higher in femoral artery group than in radial artery group (17.9％ vs.2.7 ％,x2 =9.54,P=0.002),in-bed time was shorter in radial artery group than in femoral artery group [(4.5 ± 1.2)h vs.(13.2 ±4.6)h,t=2.12,P =0.003]. Conclusions The trans-radial artery PCI is safe,effective and feasible,with less complications and shorter in-bed time.
