经桡动脉与经股动脉介入治疗急性心肌梗死的临床分析

Clinical analysis of interventional therapy of acute myocardial infarction by radial artery and femoral artery

目的探讨经桡动脉与经股动脉两种途径行冠状动脉介入治疗急性心肌梗死的临床疗效。方法回顾性分析本院2008年8月～2011年12月收治的分别行经桡动脉介入治疗与经股动脉介入治疗的急性心肌梗死患者的临床资料。结果两组的血管穿刺时间、穿刺成功率、手术时间及手术成功率比较差异均无统计学意义(P>0.05),但桡动脉组住院时间明显短于股动脉组及术后并发症明显少于股动脉组,两组比较差异均有统计学意义(P<0.05)。结论经桡动脉PCI治疗能够作为急性心肌梗死直接PCI治疗选择的途径之一,值得临床推广。

Objective To probe into clinical efficacy of coronary artery interventional therapy on acute myocardial infarction by radial artery and femoral artery. Methods The clinical data of acute myocardial infarction patients who received interventional therapy by radial artery and femoral artery respectively from Aug. 2008 to Dec. 2011 were retrospectively analyzed. Results The differences in venipuncture time, success rate of venipuncture, operation time and success rate of operation between two groups were not statistically significant （P 0.05）. However, hospital stay and postoperative complications of radial artery group were less than those of femoral artery group. The difference between two group was statistically significant （P 0.05）. Conclusion PCI treatment by radial artery can be used as one of direct PCI treatment ways for acute myocardial infarction. And, it is worthy of clinical popularization.