经桡动脉途径行冠脉介入治疗术预防感染分析

Radial Artery Approach for Coronary Intervention Therapy on Preventing Nosocomial Infection

目的探讨经桡动脉途径行冠脉介入诊疗的可行性和安全性以及预防感染的措施,并与股动脉途径进行对比分析。方法采用回顾性调查的方法对医院2008年1月-2010年3月320例经桡动脉途径行冠脉介入诊疗患者的临床资料进行统计分析。结果经桡动脉途径完成冠状动脉造影术320例中,有76例行冠状动脉介入治疗,桡动脉穿刺及置管成功率为93.36%,其中穿刺部位血肿5例(1.56%),无假性动脉瘤发生;血管痉挛24例(7.50%),桡神经损伤5例(1.56%),低血压6例(1.88%);血管迷走反射16例(5.00%),术中、术后无死亡病例。结论经桡动脉途径行冠脉介入诊疗成功率较高,感染并发症较少,患者耐受性好,可缩短住院时间,降低住院费用,安全可行。

OBJECTIVE To evaluate the radial artery approach for coronary intervention feasibility and safety of treatment and infection control measures,comparing with the femoral artery approaches.METHODS A retrospective survey method was applied in hospital from Jan 2008 to Mar 2010,320 cases of Tranradial coronary intervention in patients with clinical diagnosis and treatment information were statistically analyzed.RESULTS Among 320 cases of completion of transradial coronary angiography,76 patients underwent the coronary intervention and radial artery puncture.Hematoma of puncture site was found in 5 cases（1.56%） and no pseudo aneurysm and vasospasm in 24 cases（7.50%）,radial nerve injury in 5 cases（1.56%）,hypotension was 6 cases（1.88%）,vasovagal syncope was 16 patients（5%）,no death occurred in surgery and post operation.CONCLUSION The success rate of the radial artery approach for coronary intervention is high,and no infectious complications occurs.The patients have good tolerance.For all the characteristics above,the hospital stay can be shortened,and hospital cost can be lowered and the safety and feasibility can be ensured.