经桡、股动脉介入治疗慢性左心衰竭冠心病的疗效观察

The effect comparision of radial and femoral intervention on coronary heart disease with chronic left heart failure

目的 探讨和分析经桡、股动脉介入治疗慢性左心衰竭冠心病的临床治疗效果.方法 选择2014年1月至2016年12月我院收治的200例慢性左心衰竭冠心病患者作为研究对象,按照治疗方法分为对照组与研究组,各100例.对照组患者采用股动脉介入的方法进行治疗,研究组患者采用桡动脉介入的方法进行治疗,观察和比较两组患者治疗后的并发症、病情复发率以及术后卧床时间、手术用时.结果 研究组患者的复发率为4.0%,对照组患者的复发率为17.0%,差异具有统计学意义（P＜0.05）;研究组患者的并发症发生率为6.0%,对照组患者的并发症发生率为26.0%,差异具有统计学意义（P＜0.05）;对照组患者的术后卧床时间与手术用时为（21.54±8.28）h、（1.76±2.65）h,研究组患者的卧床时间与手术用时为（13.23±4.56）h、（1.34±2.29）h,两组比较,差异具有统计学意义（P＜0.05）.结论 经桡、股动脉介入治疗慢性左心衰竭冠心病的临床治疗效果均非常显著,但桡动脉介入治疗后患者的并发症发生率和病情复发率都相对较低,且缩短了患者的术后卧床时间,有利于提高患者的生活质量,值得临床上推广应用.

Objective To investigate and analyze the clinical effect of radial and femoral intervention on coronary heart disease with chronic left heart failure. Methods From January 2014 to December 2016, 200 cases of patients with chronic heart failure of coronary heart disease treated in our hospital were selected as the research objects, and divided into control group and study group according to treatment methods, with 100 cases in each group. The control group was treated with femoral artery intervention, while the study group was treated with radial artery intervention, the complications, relapse rate, postoperative bed stay time and operation time of two groups were observed and compared. Results The recurrence rate was 4.0% in the study group and 17.0% in the control group, the difference was statistically significant （P〈0.05）; the incidence of complications was 6.0% in the study group and 26.0% in the control group, the difference was statistically significant （P〈 0.05）; the postoperative bed stay time and operation time of the control group were （21.54±8.28） h and （1.76±2.65） h, which were higher than （13.23±4.56） h and （1.34±2.29） h of the study group, the differences were statistically significant （P〈0.05）. Conclusion Both of the radial and femoral artery intervention treatment of coronary heart disease with chronic left heart fail- ure were significant, but the radial artery intervention has low incidence of complications and recurrence rate, it can shorten the postoperative bed stay time and improve the quality of life, which is worthy of clinical application.