经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素

Via Radial Artery Interventional Diagnosis and Treatment of Coronary Heart Disease the Occurrence of Radial Artery Spasm and Its Prediction Factors

目的：分析经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素。方法采用回顾式分析方式，从2011年6月-2014年12月来我院治疗冠心病的患者病例中选出1500例，对其病例进行详细的分析，了解患者桡动脉出现痉挛的情况，并对各类可能导致桡动脉出现痉挛的因素进行分析。结果在本次分析的1500例患者中，有323例患者出现了桡动脉痉挛情况。经过对这323例患者病例的详细分析后可以看出，桡动脉痉挛可能与性别、年龄、吸烟史、桡动脉直径与身高或导管外径的比值、导管更换次数等因素有关。结论在对冠心病患者进行治疗的过程中，采用经桡动脉治疗的方法会产生桡动脉痉挛情况，这是难以避免的，引发这类症状的因素有很多，需要医护人员进行注意。

Objective Analysis of transradial coronary intervention in the incidence of radial artery spasm and its prognostic factors.Methods By review analysis, selected 1 500 cases from 2011 June to 2014 December in our hospital for treatment of coronary heart disease patients, to carry out a detailed analysis of the case, to understand the radial artery of patients with spasm occurs, and for all kinds of radial artery spasm may result in factor analysis.Results In the analysis of 1 500 cases of patients, 323 patients had radial artery spasm. After a detailed analysis of the 323 cases of patients can be seen, the radial artery spasm may be related to gender, age, smoking history, radial artery diameter and height or diameter ratio, catheter catheter replacement times and other factors. ConclusionIn patients with coronary heart disease treatment process, using the method of transradial treatment will produce radial artery spasm, it is dififcult to avoid, there are many factors causing such symptoms, medical personnel need attention.