经桡动脉冠状动脉介入治疗的疗效和安全性评价

TREATMENT OUTCOME AND SAFETY OF CORONARY ARTERY INTERVENTIONAL THERAPY VIA RADIAL ARTERY

①目的探讨经桡动脉冠状动脉介入治疗不稳定型心绞痛和急性心肌梗死的临床效果及安全性.②方法对98例冠心病病人采用经桡动脉径路介入治疗(TRI组),118例病人采用股动脉途径进行介入治疗(TFI组).观察比较两组穿刺成功率,手术成功率,手术时间,X线照射时间,病人住院时间,并发症发生率(穿刺部位出血、血肿等).③结果穿刺成功率、手术成功率、置入支架情况、手术时间和X线照射时间,两组间比较无统计学意义(x2＝2.07、2.18,t＝1.02～1.26,P＞0.05);TRI组病人的住院时间小于TFI组(t＝2.35,P＜0.05).④结论经桡动脉冠状动脉介入治疗不稳定型心绞痛和急性心肌梗死是有效、安全的,可减少病人的住院时间.

Objective To evaluate the results and safety of coronary artery interventional therapy via radial artery.Methods From September 2003 to October 2004, 216 cases undergoing coronary artery interventional therapy were divided into two groups; radial （TRI group, n=98） and femoral （TFI group, n=118）. X ray irradiation time, operating time, operating and puncture success rate as well as complications were observed. Results X-ray irradiation time, operating time, operating and puncture success rate and complications were of no difference in the two groups （x^2=2.07,2.18;t=1.02-1.26;P〉0.05）. TRI group was less hospital stay than that of TFI group （t=2.35 ,P〈0.05）. Conclusion Coronary interventional therapy via radial artery is effective and safe for unstable angina and acute myocardial infarction, and may reduce hospital stay.