经桡、股动脉介入治疗冠心病合并慢性左心衰竭的效果对比

Effect of contrast of radial artery,femoral artery interventional treatment of coronary heart disease combine with chronic left ventricular failure

目的探讨经桡、股动脉介入治疗冠心病合并慢性左心衰竭的临床效果。方法选取90例冠心病合并慢性左心衰竭患者作为研究对象,按照治疗方法将其分为研究组与对照组,研究组50例患者行经桡动脉介入术治疗,对照组40例患者行经股动脉介入术治疗,比较两组的手术指标、术后并发症发生情况等,总结治疗效果。结果两组患者的手术时间差异无统计学意义(P>0.05),研究组术后卧床时间明显短于对照组(P<0.05);研究组并发症发生率、介入失败率、左心衰竭复发率、体循环及肺循环栓塞发生率明显低于对照组(P<0.05)。结论经桡动脉与经股动脉介入治疗冠心病合并慢性左心衰竭均有一定的临床效果,但经桡动脉介入术治疗冠心病合并慢性左心衰竭的优势更为凸显,可适当推广应用。

Objective To explore the clinical curative effect of radial artery,femoral artery interventional treatment of coronary heart disease combine with chronic left ventricular failure. Methods 90 cases of coronary heart disease in pa- tients with chronic left heart failure were selected as the research object,according to therapeutic method,they were di- vided into study group and control group,the study group of 50 patients were given transradial intervention treated,the control group of 40 patients were givenvia femoral artery interventional therated,the operation index,postoperative com- plications of two groups were compared,the effect of treatment was summarized. Results The operation time of two groups showed no significant difference （P〉0.05）,the postoperative recovery time in study group was shorter than that of the control group （P〈0.05）,the incidence rate of complications,interventional failure rate,recurrence rate of left heart failure,systemic and pulmonary circulation thrombosis rate in study group were significantly lower than those of the control group （P〈0.05）. Conclusion The radial artery,femoral artery interventional treatment of coronary heart disease combine with chronic left ventricular failure has certain curative effect,but the transradial intervention treatment of coronary heart disease with chronic heart failure is more prominent,can be properly applied.