经桡、股动脉介入治疗冠心病合并慢性左心衰竭的效果对比

Comparison on the Effect of Transradial Intervention and Femoral Artery Intervention in the Treatment of Coronary Heart Disease Complicated with Chronic Left Heart Failure

目的探讨经桡、股动脉介入治疗冠心病合并慢性左心衰竭的效果。方法选取我院2016年1月至2017年1月收治的冠心病合并慢性左心衰竭患者60例,随机分为两组各30例。对照组行经股动脉介入治疗,观察组行经桡动脉介入治疗。比较两组患者各项手术指标以及术后并发症情况。结果两组患者的手术时间比较差异无统计学意义(P>0.05)。观察组的术后卧床时间短于对照组(P<0.05)。观察组的介入失败,术后左心衰,体、肺循环栓塞以及术后并发症的发生率均低于对照组(P<0.05)。结论经桡动脉介入治疗冠心病合并慢性左心衰竭患者的效果更佳,且并发症少、安全性高,临床效果确切,促进患者术后康复,值得临床推广。

Objective To explore the effect of transradial intervention and femoral artery intervention in the treatment of coronary heart disease complicated with chronic left heart failure. Methods 60 cases of patients with coronary heart disease complicated with chronic left heart failure admitted to our hospital from January 2016 to January 2017 were selected and randomly divided into two groups, with 30 cases in each group. The control group received femoral artery intervention, while the observation group received transradial intervention. The surgical indicators and postoperative complications of patients were compared between two groups. Results No statistical difference was found in the operation time between two groups （P〉0.05）. The postoperative time of lying in bed of observation group was shorter than that of control group （P 〈0.05）. The incidences of interventional failure, postoperative chronic left heart failure, systemic or pulmonary circulation embolization and postoperative complications were lower than those of control group （all P 〈0.05）. Conclusions Transradial intervention in the treatment of coronary heart disease complicated with chronic left heart failure has better effect with fewer complications, higher safety and definite clinical effect, and promote patients＇ postoperative rehabilitation, which is worthy of clinical promotion.