足先进体位左桡动脉途径在外周血管内介入诊疗中的临床价值

Clinical analysis of advanced food position left radial artery pathway applied in the peripheral blood tube interventional diagnosis and treatment

目的:比较足先进体位左桡动脉途径与右桡动脉途径行外周血管内介入诊疗的安全性与可行性。方法:203例行外周血管内介入诊疗的患者随机分为足先进体位左桡动脉组和右侧桡动脉组,比较两组桡动脉穿刺时间、目标靶血管到位时间及到位率、手术时间、X线曝光时间、血管痉挛发生率、穿刺插管并发症发生率。结果:左桡动脉组患者的靶血管到位时间明显短于右桡动脉组(t=6.710,P<0.05),靶血管到位率明显高于右桡动脉组(χ~2=4.916,P<0.05)。两组穿刺时间、X线曝光时间、手术时间、血管痉挛发生率以及穿刺插管并发症发生率比较,差异均无统计学意义(均P>0.05)。结论:足先进体位左桡动脉途径与右桡动脉途径在外周血管内介入诊疗中同样安全、可行,但在靶血管到位时间、目标靶血管到位率上较右桡动脉有优势。

Ob je c t iv e： T h e safe ty and fe as ibili ty of advanced food p os ition le f t radial a r te ry p a thw ay and th e right radial artery pathway were compared. Methods：203 patients were randomly divided into left radial artery path-way group and right radial artery pathway group. The radial artery puncture time, time and rate of reach the target blood vessel,X-ray ex p osure t ime,th e incidence of v a so sp a sm, p u n c tu re in tu b a t io n complicat ions. Resul t s： T h e time of reach the target blood vessel in left radial artery pathway was shorter than right radial artery pathway （r=6. 710,P 〈0. 05） . The rate of reach the target blood vessel in lef t radial ar tery pa thway was highe r than r ight radial artery pathway （x 2 =4. 9 1 6, P〈0. 0 5 ） . T h e radial a r te ry p u n c tu re time,X-ray ex p osure time, th e incidence of v a s -ospasm ,puncture intubation complications were no significant difference in the two group （P〉0. 05）. Conclusion： Advanced food position left radial artery pathway and the right radial artery pathway in interventional diagnosis and treatment of peripheral blood tube is safe, feasible. Left radial artery pathway take the advantage of time and rate of reach the target blood vessel.