经皮桡动脉穿刺介入治疗冠心病64例疗效观察

Clinical effect of percutaneous radial artery puncture in interventional treatment of coronary heart disease: an analysis of 64 patients

目的观察经皮桡动脉穿刺介入治疗冠心病的临床效果。方法 64例冠心病患者随机分为对照组和观察组,每组32例。对照组采用经股动脉介入治疗,观察组采用经桡动脉介入治疗。比较两组置入动脉鞘时间,手术时间,手术成功率及手术并发症发生率。结果观察组置管成功率、手术时间、住院时间、置入支架数、穿刺成功率与对照组相比,差异无统计学意义(P>0.05)。观察组术后并发症发生率显著低于对照组(P<0.05)。结论采用经皮桡动脉穿刺介入治疗效果与经股动脉穿刺介入治疗相当,经皮桡动脉穿刺介入术后并发症更少,安全性更佳,值得临床推广应用。

Objective To observe the clinical effect of percutaneous radial artery puncture in the interventional treatment of coronary heart disease. Methods A total of 64 patients with coronary heart disease were randomly divided into control group（n =32） and observation group（n =32）. The patients in the control group received the interventional treatment with femoral artery puncture, and those in the observation group received the interventional treatment with radial artery puncture. The time to arterial sheath placement, time of operation, success rate, and incidence rate of surgical complications were compared between the two groups. Results There were no significant differences in the success rate of catheter placement, time of operation, length of hospital stay, number of stents placed, and success rate of puncture between the observation group and the control group（P〈0.05）. The observation group had a significant lower incidence rate of postoperative complications than the control group（P〉0.05）. Conclusion The percutaneous interventional treatment with radial artery puncture has a similar therapeutic effect as the interventional treatment with femoral artery puncture, with few postoperative complications and good safety, and is worthy of wide clinical application.