经桡动脉途径介入治疗老年冠心病合并慢性左心衰竭的临床研究

Clinical study of transradial approach interventional therapy in the treatment of elderly patients with coronary heart disease complicated with chronic left heart failure

目的观察经桡动脉途径介入治疗老年冠心病合并慢性左心衰竭的临床效果。方法将78例老年冠心病合并慢性左心衰患者随机分为对照组和观察组,每组39例。对照组接受股动脉介入治疗,观察组行经桡动脉介入治疗。比较两组手术时间、穿刺至置管时间、X线曝光时间等指标;观察穿刺相关并发症、下肢深静脉血栓、急性左心衰等情况。结果观察组穿刺至置管时间、X线曝光时间、术后卧床时间、住院时间均少于对照组,两组比较,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05)。观察组穿刺相关并发症、下肢深静脉血栓、体循环栓塞、急性左心衰发生率均低于对照组,两组比较差异有统计学意义(P<0.05)。结论经桡动脉途径介入治疗老年冠心病合并慢性左心衰患者创伤小,术后并发症少,有利于促进患者尽早下床,加快康复进程。

Objective To observe the clinical effect of transradial approach interventional therapy in the treatment of elderly patients with coronary heart disease complicated with chronic left heart failure. MethodsA total of 78 cases of elderly patients with coronary heart disease complicated with chronic left heart failure were randomly divided into control group and observation group, 39 cases in each group. Patients in control group were treated with femoral artery interventional therapy, and patients in observation group were treated with transradial interventional therapy. The operation time, time from puncture to intubation and time of X-ray exposure of the two groups were compared; Complications related to puncture, lower extremity deep venous thrombosis and acute left heart failure were observed. ResultsTime from puncture to intubation, X-ray exposure time, postoperative time in bed and length of hospital stay of observation group were shorter than those of control group,the difference was statistically significant（P〈0.05）; There was no significant difference in operation time between the two groups （P〉0.05）. Compared with control group, the incidence rates of puncture related complications, lower extremity deep venous thrombosis and acute left heart failure in the observation group were lower （P〈0.05）. ConclusionsTransradial approach interventional therapy in the treatment of elderly patients with coronary heart disease complicated with chronic left heart failure has few trauma and postoperative complications. It is conducive to promote patients to get out of bed as soon as possible and speed up the process ofrecovery.