CAJ | 학술논문

目的评价老年冠心病经桡动脉穿刺介入治疗的安全性及疗效.方法选择2007年3月～2009年5月60岁以上老年冠心病患者314例行冠状动脉介入治疗,按穿刺途径随机分成桡动脉组(n=157)和股动脉组(n=157),观察两组间手术成功率、动脉穿刺时间、手术操作时间、x线曝光时间、外周血管并发症和术后肺栓塞发生情况.结果经桡动脉穿刺途径成功共149例,经股动脉穿刺途径成功共152例.两组间手术成功率、X线曝光时间、手术时间等比较,差异无显著性(P>0.05).动脉穿刺时间桡动脉组明显多于股动脉组(P<0.05),外周血管并发症桡动脉组明显少于股动脉组(P<0.05),在股动脉组术后肺栓塞发生2例,而桡动脉组0例.总介入治疗手术成功率为98.1%(308/31 4).结论只要规范化操作,老年冠心病经桡动脉穿刺介入治疗方法安全、有效且可行,术后外周血管并发症发生少.
목적 평개노년관심병경뇨동맥천자개입치료적안전성급료효.방법 선택2007년3월～2009년5월60세이상노년관심병환자314례행관상동맥개입치료,안천자도경수궤분성뇨동맥조(n=157)화고동맥조(n=157),관찰량조간수술성공솔、동맥천자시간、수술조작시간、x선폭광시간、외주혈관병발증화술후폐전새발생정황.결과 경뇨동맥천자도경성공공149례,경고동맥천자도경성공공152례.량조간수술성공솔、X선폭광시간、수술시간등비교,차이무현저성(P>0.05).동맥천자시간뇨동맥조명현다우고동맥조(P<0.05),외주혈관병발증뇨동맥조명현소우고동맥조(P<0.05),재고동맥조술후폐전새발생2례,이뇨동맥조0례.총개입치료수술성공솔위98.1%(308/31 4).결론 지요규범화조작,노년관심병경뇨동맥천자개입치료방법안전、유효차가행,술후외주혈관병발증발생소.
Objective To evaluate the safety and effect oftransradial artery approach for coronary intervention in the aged.Methods There were 314 cases which were more than 60 years old with coronary artery disease in hospital from Mar 2007 to May 2009, who accepted coronary intervention.They were randomly divided into Transradial group(TRA, n=157) and Transfemoral group(TRF, n=157).The success rate and time of puncture, x-ray exposure time, procedure duration, complication in puncture site and pulmonary embolism were observed in the two groups.Results 149 out of 157 cases success in TRA group and 155 cases in TRF group.The success rate was not different.The success rate of puncture,xray exposure time and procedure duration had no difference between the two groups.But the complication in puncture site and pulmonary embolism were more in TRF group than in TRA group. Conclusions Pereutaneous transradial artery approach is secure and effective for coronary intervention treatment in the aged and has few vascular complications.