经桡动脉对患者行冠状动脉造影和经皮冠状动脉介入治疗的临床分析

Clinical Analysis of Patients Undergoing Transradial Coronary Angiography and Percutaneous Coronary Intervention Treatment

目的:探讨经桡动脉行冠状动脉造影(CAG)和经皮冠状动脉接入(PCI)治疗的临床疗效。方法:选取2010年1月至2014年1月于我院行经桡动脉行CAG和PCI治疗的患者184例为观察组,选取同期于我院行经股动脉行CAG和PCI治疗的患者184例为对照组,观察两组患者手术时间、手术成功率、X线曝光时间、局部并发症、全身并发症、术后不适、住院时间、住院费用等指标。结果:观察组患者手术时间、手术成功率、X线曝光时间与对照组比较差异不明显(P>0.05);观察组患者局部并发症发生率、全身并发症发生率(0%)、术后不适率均明显低于对照组,观察组住院时间、住院费用明显少于对照组(P<0.05)。结论:经桡动脉CAG和PCI治疗安全、有效、并发症少,患者创伤小、恢复快、住院时间短。

Objective： To investigate the transradial coronary angiography（CAG） and access percutaneous coronary artery（PCI） treatment clinical curative effect. Method： 184 cases from 2010 January to 2014 January after radial artery CAG and PCI treatment in our hospital were selected as observation group, the patients in our hospital over the same period of femoral artery for CAG and PCI for 184 cases as control group, two groups were observed in patients with operation success rate, operation time, X-ray exposure time, local complications, complications, postoperative discomfort, hospitalization time, cost of hospitalization. Results： Patients with operation success rate, operation time, X-ray exposure time in comparison with the control group, no significant difference（P〉0.05）; to observe the incidence of local complications patients, systemic complications（0%）, postoperative discomfort rate were significantly lower than those in the control group, the observation group was significantly less than the control group, hospitalization time（P〈0.05）. Conclusion： Transradial artery CAG and PCI treatment is safe, effective, less complications, less trauma, quicker recovery, shorter hospitalization time.