经桡与股动脉介入治疗冠心病合并慢性左心衰竭的临床效果比较

Comparison of clinical effect by transradial artery and transfemoral artery interventional therapy in the treatment of coronary heart disease complicated with chronic left heart failure

目的对比分析经桡与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 100例冠心病合并慢性左心衰竭患者,随机分为观察组和对照组,每组50例。对照组采取经股动脉介入治疗方案,观察组采取经桡动脉介入治疗方案。观察两组患者手术指标及并发症发生率。结果观察组手术成功率为96.0%,显著高于对照组的78.0%(P<0.05)。两组手术时间比较差异无统计学意义(P>0.05)。观察组卧床时间(12.91±2.65)h,短于对照组的(20.34±3.77)h(P<0.05)。观察组并发症发生率为4.0%,明显低于对照组的22.0%(P<0.05)。结论经桡动脉介入治疗冠心病伴慢性左心衰竭患者的效果较经股动脉介入治疗方案更佳,且较少并发症发生,值得临床推广应用。

Objective To compare and analyze clinical effect by transradial artery and transfemoral artery interventional therapy in the treatment of coronary heart disease complicated with chronic left heart failure. Methods A total of 100 patients of coronary heart disease complicated with chronic left heart failure were randomly divided into observation group and control group, with 50 cases in each group. The control group received transfemoral artery interventional therapy, and the observation group received transradial artery interventional therapy. Operation indexes and incidences of complications were observed in the two groups. Results The observation group had obviously higher operation success rate as 96.0% than 78.0% of the control group（P〈0.05）. There was no statistically significant difference of operation time between the two groups（P〉0.05）. The observation group had shorter bed rest time as（12.91±2.65） h than（20.34±3.77） h of the control group（P〈0.05）. The observation group also had much lower incidence of complications as 4.0% than 22.0% of the control group（P〈0.05）. Conclusion Transradial artery interventional therapy provides better effect and low incidence of complications than transfemoral artery interventional therapy in the treatment of coronary heart disease complicated with chronic left heart failure. This method is worthy of clinical promotion and application.