CAJ | 학술논문

目的：研究经桡动脉途径行冠状动脉介入治疗的效果，分析其可行性和安全性。方法：回顾分析2012年3月至2014年1月在我院行冠状动脉介入的306例患者的临床资料，其中桡动脉组（153例），股动脉组（153例），比较两组患者治疗效果、时间以及术后并发症等。结果：桡动脉组151例顺利完成介入手术，成功率为98.7％；股动脉组150例顺利完成介入手术，手术成功率为98.0％。两组手术成功率无统计学差异（P ＞0.05）。与股动脉组比较，桡动脉组住院时间[（8.0±3.5）d 比（3.5±1.7）d]明显缩短，治疗费用[（3.74±2.06）万元比（2.61±1.4）万元]明显减少（P 均＜0.01）；术后冠脉闭塞（3.92％比0％）、心律失常（11.76％比1.31％）、血管痉挛（6.54％比1.96％）以及血肿（7.19％比0.65％）等的发生率均显著降低（P ＜0.05或＜0.01）。结论：应用经桡动脉途径行冠状动脉介入治疗效果优于股动脉途径，可减少住院时间，降低住院费用、并发症，值得推荐。
목적：연구경뇨동맥도경행관상동맥개입치료적효과，분석기가행성화안전성。방법：회고분석2012년3월지2014년1월재아원행관상동맥개입적306례환자적림상자료，기중뇨동맥조（153례），고동맥조（153례），비교량조환자치료효과、시간이급술후병발증등。결과：뇨동맥조151례순리완성개입수술，성공솔위98.7％；고동맥조150례순리완성개입수술，수술성공솔위98.0％。량조수술성공솔무통계학차이（P ＞0.05）。여고동맥조비교，뇨동맥조주원시간[（8.0±3.5）d 비（3.5±1.7）d]명현축단，치료비용[（3.74±2.06）만원비（2.61±1.4）만원]명현감소（P 균＜0.01）；술후관맥폐새（3.92％비0％）、심률실상（11.76％비1.31％）、혈관경련（6.54％비1.96％）이급혈종（7.19％비0.65％）등적발생솔균현저강저（P ＜0.05혹＜0.01）。결론：응용경뇨동맥도경행관상동맥개입치료효과우우고동맥도경，가감소주원시간，강저주원비용、병발증，치득추천。
Objective:To study the effect and safety of transradial percutaneous coronary intervention (PCI).Meth-ods:Clinical data of 306 patients,who received PCI in our hospital from Mar 2012 to Jan 2014,were retrospectively analyzed,including radial group (n=153),and femoral group (n=153).Therapeutic effect,time and postoperative complications etc.were compared between two groups.Results:A total of 151 cases completed PCI successfully in radial group,the success rate was 98.7%;a total of 150 cases completed PCI successfully in femoral group,the suc-cess rate was 98.0%,there was no significant difference in success rate of operation between two groups,P >0.05. Compared with femoral group,there were significant reductions in hospitalization time [(8.0±3.5)d vs.(3.5± 1.7)d],treatment cost [(3.74±2.06) × 104 yuan vs.(2.61 ± 1.4) × 104 yuan],P <0.01 both,in incidence rates of postoperative coronary occlusion (3.92% vs.0%),arrhythmia (11.76% vs.1.31%),vascular spasm (6.54% vs.1.96%)and hematoma (7.19% vs.0.65%)etc.in radial group,P < 0.05 or < 0.01. Conclusion:Transradial PCI possesses better effect than that of transfemoral ,and it can reduce hospitalization time,cost and postoperative complications,which is worth extending.