中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
31期
24-25
,共2页
陈千生%方勇%李卫国%陈开红
陳韆生%方勇%李衛國%陳開紅
진천생%방용%리위국%진개홍
ST段抬高型心肌梗死%桡动脉%急诊%股动脉%疗效
ST段抬高型心肌梗死%橈動脈%急診%股動脈%療效
ST단태고형심기경사%뇨동맥%급진%고동맥%료효
ST segment elevation myocardial infarction%Radial artery%Emergency%Arteria cruralis%Curative effect
目的：分析经桡动脉途径急诊介入治疗ST段抬高型心肌梗死(STEMI)的临床效果。方法：STEMI行急诊PCI患者120例，随机分为经桡动脉组60例，经股动脉组60例，分析两组患者介入治疗的成功率、治疗疗效、穿刺成功时间和术后并发症的情况。结果：经桡动脉组PCI成功率95.00%，经股动脉组PCI成功率96.67%，两组差异无统计学意义(P＞0.05)。经桡动脉组并发症发生率3.33%，经股动脉组并发症发生率8.33%，两组比较差异有统计学意义(P＜0.05)。另外，两组穿刺成功时间、住院时间及治疗费用比较差异有统计学意义(P＜0.05)。结论：经桡动脉途径急诊介入治疗STEMI的成功率与经股动脉相似，而手术并发症发生率低、住院时间短、住院费用低，值得在急诊介入治疗STEMI中推广。
目的：分析經橈動脈途徑急診介入治療ST段抬高型心肌梗死(STEMI)的臨床效果。方法：STEMI行急診PCI患者120例，隨機分為經橈動脈組60例，經股動脈組60例，分析兩組患者介入治療的成功率、治療療效、穿刺成功時間和術後併髮癥的情況。結果：經橈動脈組PCI成功率95.00%，經股動脈組PCI成功率96.67%，兩組差異無統計學意義(P＞0.05)。經橈動脈組併髮癥髮生率3.33%，經股動脈組併髮癥髮生率8.33%，兩組比較差異有統計學意義(P＜0.05)。另外，兩組穿刺成功時間、住院時間及治療費用比較差異有統計學意義(P＜0.05)。結論：經橈動脈途徑急診介入治療STEMI的成功率與經股動脈相似，而手術併髮癥髮生率低、住院時間短、住院費用低，值得在急診介入治療STEMI中推廣。
목적：분석경뇨동맥도경급진개입치료ST단태고형심기경사(STEMI)적림상효과。방법：STEMI행급진PCI환자120례，수궤분위경뇨동맥조60례，경고동맥조60례，분석량조환자개입치료적성공솔、치료료효、천자성공시간화술후병발증적정황。결과：경뇨동맥조PCI성공솔95.00%，경고동맥조PCI성공솔96.67%，량조차이무통계학의의(P＞0.05)。경뇨동맥조병발증발생솔3.33%，경고동맥조병발증발생솔8.33%，량조비교차이유통계학의의(P＜0.05)。령외，량조천자성공시간、주원시간급치료비용비교차이유통계학의의(P＜0.05)。결론：경뇨동맥도경급진개입치료STEMI적성공솔여경고동맥상사，이수술병발증발생솔저、주원시간단、주원비용저，치득재급진개입치료STEMI중추엄。
Objective:To analyze the clinical effect of emergency transradial intervention for ST segment elevation myocardial infarction(STEMI).Methods:120 STEMI patients with emergency PCI were randomly divided into the transradial artery group and the transfemoral intervention group with 60 cases in each.The interventional treatment success rate,curative effect,puncture success time and postoperative complications of patients in two groups were compared.Results:The PCI success rate of the transradial artery group was 95.00%;the PCI success rate of the transfemoral intervention group was 96.67%.The difference of two groups was statistically significant(P<0.05).The complication incidence rate of the transradial artery group was 3.33%;the complication incidence rate of the transfemoral intervention group was 8.33%.The difference of two groups was statistically significant(P<0.05).In addition,the differences between the puncture success times,hospitalization times and treatment costs of two groups were statistically significant(P<0.05).Conclusion:The success rate of emergency transradial intervention for STEMI is similar with transfemoral intervention,but it has low operation complication incidence rate,short hospitalization time and low treatment cost.It is worthy to be popularized in the emergency transradial intervention for STEMI.
