摘要
目的:评价高龄冠心病患者经桡动脉穿刺介入治疗的安全性及可行性。方法:380例70岁以上的老年冠心病行介入治疗患者按动脉穿刺途径随机分成桡动脉组(n=190)和股动脉组(n=190),观察两组间动脉穿刺成功率、手术操作时间、造影剂用量、局部及全身并发症发生情况。结果:经桡动脉穿刺途径成功共182例,经股动脉穿刺途径成功共188例。两组间动脉穿刺成功率、介入手术时间、造影剂用量差异无显著性。局部出血并发症迷走反射桡动脉组明显少于股动脉组(P<0.05)。结论:高龄冠心病患者经桡动脉途径穿刺行介入治疗方法可行、治疗有效,较股动脉并发症发生少,是高龄冠心病患者介入治疗可选择的穿刺途径。
AIM： To evaluate the safety and effect of transradial approach for coronary intervention （TRI） in elderly patients with coronary heart disease （CHD）. METHODS： Three hundred and eighty elderly CHD patients （ 〉 70 years old） treated with coronary intervention in Bethune International Peace Hospital from January 2005 to July 2008 were divided into transradial group （TRI, n = 190 ） and transfemoral group （TF, n = 190）. The success rate, duration of procedure, dose of dye, local puncture site and systemic complications of the two groups were observed. RESULTS： No significant difference was found in the success rate of puncture, procedure duration and dose of dye between groups （182/190 in TRI group vs. 188/190 in TFI group）. However, complications at local puncture site and vagus reflex were higher in TFI group than in the TRI group. CONCLUSION： TRI approach of coronary intervention is safe and effective in elderly patients.
出处
《心脏杂志》
CAS
2010年第3期401-402,405,共3页
Chinese Heart Journal
