经桡动脉和经股动脉途径行冠状动脉介入术的临床对比分析

Comparison of percutaneous coronary intervention by transradial and transfemoral approaches

目的对经桡动脉和股动脉途径行冠状动脉造影和介入治疗（PCI）患者的临床资料进行对比分析。方法选择行PCI的患者195例，分为桡动脉组（98例）和股动脉组（97例），比较两组手术并发症、术后卧床时间、住院时间。结果与股动脉组比较，桡动脉组患者穿刺局部并发症发生率显著降低（P〈0．01）；术后卧床时间、住院时间显著缩短（P〈0．01）。结论经桡动脉途径行冠脉造影和介入治疗安全可行，并发症少。

Objective To evaluate coronary arteriography and intervention treatment（PCI） by transradial and transfemoral approaches. Methods 195 patients undergoing PCI were divided into transradial group （98 eases） and transfemoral group（97 cases）. The complications of operation, time of lying in bed after operation, length of stay were compared between two groups. Results The incidence rate of access site complication including hemorrhage and hematoma was significantly lower in transradial group（ P 〈 0. 01 ）. The time of lying in bed after operation, length of stay were significantly shorter in transradial group than in transfemoral group（ P 〈0. 01 ）. Conclusion Transradial PCI can be successfully performed with excellent safety and effectiveness. There are fewer complication by the transradial approach.