桡动脉冠状动脉造影后支架植入术治疗老年冠心病患者的效果观察

Effects of stent implantation after radial artery coronary angiography in the treatment of the elderly with coronary heart disease

目的:观察桡动脉冠状动脉造影后支架植入对老年冠心病患者的治疗效果。方法:选取2017年1月至2018年6月期间我院收治的老年冠心病患者111例,采用随机数字表法随机分为对照组和观察组,两组患者均给予支架植入术治疗,其中对照组患者(n=55)采用经股动脉冠状动脉造影,观察组患者(n=56)采用经桡动脉冠状动脉造影,术后3月对比两组造影效果、手术时间、血肿、动脉静瘘、假性动脉瘤等血管并发症发生率、生活质量。结果:观察组造影、X线暴露、血管穿刺时间及血管并发症发生率均低于对照组,特殊指引导管、PTCA应用率及SAQ评分均高于对照组(P<0.05)。结论:经挠动脉冠状动脉造影行支架植入手术用时短,能够有效降低冠心病患者血管并发症发生率,提升生活质量,预后佳。

Objective:To observe the therapeutic effects of stent implantation after coronary artery angiography in the elderly with coronary heart disease.Methods:A total of 111 elderly patients with coronary heart disease admitted to our hospital from January 2017 to June 2018 were randomly divided into the control group and the observation group by random number table.Both groups were treated with stent implantation.Patients in the control group(n=55)underwent transfemoral coronary angiography.Patients in the observation group(n=56)underwent transradial coronary angiography.After 3 months,the contrast effects,operation time,hematoma,and arterial stenosis of the two groups were compared.The incidence of vascular complications such as pseudoaneurysm and quality of life was also compared.Results:The angiography,X-ray exposure,vascular puncture time and vascular complication rate of the observation group were lower than that of the control group.The specific guiding catheter,PTCA application rate,and SAQ score of the observation group were higher than the control group(P<0.05).Conclusion:The short-term use of stenting for coronary artery angiography can effectively reduce the incidence of vascular complications,improve the quality of life and prognosis of elderly patients with coronary heart disease.