CAJ | 학술논문

目的：探讨高龄患者无肝素经桡动脉冠脉造影的安全性。方法本研究入选240例患者，其中年龄≥80岁者共98例，按随机表法分为高龄无肝素组50例和高龄肝素组48例，年龄＜80岁者142例则入选低龄无肝素组。分别观察并比较各组穿刺口血肿、手术相关出血、血栓形成和绷带包扎时间等临床结果。结果高龄无肝素组的手术相关出血、穿刺口血肿和绷带包扎时间均优于高龄肝素组，差异有统计学意义（P ＜0．05），但与低龄无肝素组比较差异无统计学意义。高龄无肝素组的血栓形成和 Al en′s 试验（-）劣于低龄无肝素组，差异有统计学意义（P ＜0．05），而与高龄肝素组比较差异无统计学意义。结论高龄患者无肝素经桡动脉冠脉造影是安全可行的。
목적：탐토고령환자무간소경뇨동맥관맥조영적안전성。방법본연구입선240례환자，기중년령≥80세자공98례，안수궤표법분위고령무간소조50례화고령간소조48례，년령＜80세자142례칙입선저령무간소조。분별관찰병비교각조천자구혈종、수술상관출혈、혈전형성화붕대포찰시간등림상결과。결과고령무간소조적수술상관출혈、천자구혈종화붕대포찰시간균우우고령간소조，차이유통계학의의（P ＜0．05），단여저령무간소조비교차이무통계학의의。고령무간소조적혈전형성화 Al en′s 시험（-）렬우저령무간소조，차이유통계학의의（P ＜0．05），이여고령간소조비교차이무통계학의의。결론고령환자무간소경뇨동맥관맥조영시안전가행적。
Objective To explore the safety of percutaneous radial artery puncture without heparin in elderly patients.Methods There were 98 senile patients aged 80 and above which were divided into senile group without heparin with 50 patients and heparin senile group with 48 patients as well as 142 younger patients aged below 80 as younger group without heparin. Hematoma in the puncture mouth,bleeding of operation,thrombosis and time of binding were compared.Results The difference was significant since bleeding of operation,hematoma in the puncture mouth and time of binding in senile group without heparin were superior to that in senile group with heparin(P <0.05).However,there was no significant difference observed in younger group without heparin.Thrombosis and Allen′s trail in the senile group without heparin were infe-rior to that in the in younger group without heparin.Conclusion It is safety by percutaneous radial artery puncture for coronary angiography (CAG)without heparin in elderly patients.