经股和桡动脉介入治疗冠心病的临床疗效对比

Comparison of Clinical Effects of Interventional Treatment of Coronary Heart Disease by Femoral and Radial Artery

目的观察对冠心病患者采用经股动脉和桡动脉两种不同介入途径治疗的临床效果。方法选择我院2015年1月~2016年12月收治的60例冠心病患者,平均分为对照组(n=30)与观察组(n=30)。对照组患者经股动脉穿刺治疗,观察组患者经桡动脉穿刺治疗,对比两组患者置入支架情况、对比剂用量、手术时间、住院时间、穿刺成功率以及术后并发症情况。结果对照组与观察组患者置入支架数量、所置入支架的直径、长度、所需对比剂用量以及置管成功率之间差异无统计学意义(P>0.05);观察组患者平均手术时间、住院时间及并发症发生率显著优于对照组,差异有统计学意义(P<0.05)。结论经桡动脉穿刺介入治疗冠心病临床效果较好,具有手术时间短、住院时间短、术后并发症少的优势,更值得临床应用和推广。

Objective To observe the clinical effect of transfemoral artery and radial artery intervention in patients with coronary heart disease.Methods From January 2015 to December 2016,60 patients with coronary heart disease were selected and divided into control group(n=30)and the observation group(n=30).The patients in the control group were treated by femoral artery puncture,and the patients in the observation group were treated by radial artery puncture.Stent placement,dosage of contrast agent,operation time,hospital stay,puncture success rate and postoperative complications were compared between the two groups.Results There was no significant difference between the control group and the observation group in the number of stents,the diameter and length of the stents,the amount of contrast agents needed and the success rate of catheterization(P>0.05).The average operation time,hospital stay and complication rate in the observation group were significantly better than those in the control group,the difference was statistically significant(P<0.05).Conclusion Transradial artery puncture interventional therapy for coronary heart disease has the advantages of short operation time,short hospital stay and less postoperative complications,which is worthy of clinical application and popularization.