桡动脉途径行冠状动脉介入治疗急性冠状动脉综合征的临床分析

Clinical study of trans - radial approach for percutaneous coronary intervetion in patients with actue coronary syndrome

目的观察经桡动脉途径行冠状动脉介入治疗急性冠状动脉综合征（ACS）的可行性和安全性。方法将156例ACS患者随机分为股动脉组和桡动脉组，记录两组X线曝光时间、手术操作时间、穿刺成功率和手术成功率、并发症及卧床时间。结果两组在X线曝光时间、手术操作时间、穿刺成功率和手术成功率方面比较差异无统计学意义（P〉0．05），经桡动脉途径并发症明显少于经股动脉途径组（P〈0．05），患者卧床时间桡动脉组明显短于股动脉组（P〈0．05）。结论ACS患者桡动脉途径行冠状动脉介入治疗是安全和可行的，并发症少。

Objective To study the safety and efficacy of trans- radial approach for percutaneous coronary intervetion in patients with aetue coronary syndrome （ACS）. Methods In this trial, 156 patients diagnosed ACS were assigned randomly trans - radial approach group （ n = 78 ） and trans - femoral approach group （n = 78 ） , we recorded such datas as follows： X - ray exposure time, percutaneous coro- nary intervetion time, the rate of success in puncturing and PCI, inbed time and complication rates. Re- sults There was no significant difference in X - ray exposure time, percutaneous coronary intervetion time, or the rate of success in puncturing and PCI（ P 〉0.05）. But the inbed time and complication rates of trans- radial approach group were lower than that in trans -femoral approach group （ P 〈 0.05 ）. Conclusions Trans -radial approach for pereutaneous coronary intervetion in patients with actue coro- nary syndrome is safe and effective and therefore it should be selective in patients with ACS.