经桡动脉冠脉介入治疗急性心肌梗死106例的临床疗效分析

Analysis of the Clinical Efficacy of Trans-radial Coronary Intervention for the Treatment of 106 Patients with Acute Myocardial Infarction

【目的]探讨经桡动脉冠脉介入治疗急性心肌梗死（AMI）的临床疗效及并发症。【方法】将急诊收治的106例行冠脉介入治疗的AMI患者随机分为经桡动脉组54例（A组）、经股动脉组52例（B组），比较两组临床治疗效果、手术持续时间及并发症等。【结果]A，B组手术成功率分别为94．4％；96．2％。两组比较无显著性差异（P〉0．05）。两组手术持续时间比较无显著性差异（P〉0．05）。A组术后局部并发症发生率为1.85％；明显低于B组（13．46％）。两组相比较有显著性差异（P〈0．05）。【结论】经桡动脉途径介入治疗AMI临床疗效好，且安全可靠，是一种更为可行的介入方法。

[Objective] To explore the clinical efficacy and complications of trans-radial coronary intervention for the treatment of 106 patients with acute myocardial infarction（AMI）. [Methods] Totally 106 patients with acute myocardial infarction undergoing trans-radial coronary intervention fron~ the emergency center were randomly divided into trans-radial group（group A, n = 54） and trans-femoral group（group B, n = 52）. The clinical efficacy, the operation time and the incidence of complications were compared between two groups. [Results]The successful rate of the operation in group A and group B were 94.4% and 96.2%, respectively, but there was no significant difference between two groups（ P 〉0.05）. There was also no significant difference in the operation time between two groups（ P 〉0.05）. The incidence of regional complications in group A was 1.85% which was lower than that in group B（13.46%）, and there was significant difference between two groups（ P 〈0.05）. [Conclusion] Trans radial coronary intervention for the treatment of AMI is effective, safe and reliable, so it is a feasible intervention method.