急性冠脉综合征PCI治疗的疗效观察

Clinical Observation on Treating Actue Coronary Syndrome with Percutaneous Coronary Intervention

目的:探讨对急性冠脉综合征(ACS)患者采取经皮冠脉介入(PCI)治疗的临床疗效。方法:对我院行PCI治疗的ACS患者130例治疗资料作以回顾分析,并根据其穿刺动脉不同分为经桡动脉组60例(观察组)与经股动脉组70例(对照组),对比观察两组PCI治疗即刻成功率及并发症情况。结果:观察组PCI治疗即刻成功率为95.0%,较对照组95.7%无统计学差异(P>0.05);严重并发症比较无显著差异(P>0.05)。观察组平均住院天数较对照组短(P<0.05)。结论:经桡动脉PCI治疗ACS成功率高,创伤小,患者住院时间短,可作为治疗ACS的常用方法。

Objective： To explore the clinical effect on treating actue coronary syndrome （ ACS） with percutaneous coronary intervention （ PCI）. Method： Data of 130 cases with ACS treated by PCI were reviewed, according the way of puncture, they were divided by the observation group, with coronary intervention through radial artery, n = 60; by the control group, with coronary intervention through transfemoral coro- nary, n = 70. Compared the success rate of PCI and the rate of complication between two groups. Result： The success rate of PCI in the observation group was 95.0%, There＇s no difference with that of the control group（P〉0.05）. There were no difference on the rate of complication between two groups （ P〉0.05 ）. The time in hospital of the observation group was shorter than that of the control group （ P〈0.05 ）. Conclusion： PCI through radial artery would be of higher success rate, lower traumatic, shorter time in hospital than PCI through transfemoral coronary, would be usual treatment for ACS.