经桡动脉穿刺进行椎动脉狭窄支架成形术的有效性和安全性分析

Effectiveness and Safety Analysis of Stent Angioplasty for Vertebral Artery Stenosis Via Radial Artery Puncture

目的分析经桡动脉穿刺进行椎动脉狭窄支架成形术的有效性和安全性。方法随机选择2019年1-10月期间于该院进行椎动脉狭窄支架成形术的42例患者当作研究对象,并按照病历单双号将其分为对照组(经股动脉穿刺)与观察组(经桡动脉穿刺),每组各21例。对比两组的治疗效果。结果观察组鞘管开始植入到球囊扩张时间与术后平均卧床时间均显著低于对照组(t=4.910,P=0.000;t=50.775,P=0.000),但对照组鞘管置入平均时间显著低于观照组(t=1.684,P=0.044);观察组的并发症发生率为4.76%显著低于对照组14.29%(χ~2=5.269,P=0.022)。结论经桡动脉穿刺进行椎动脉狭窄支架成形术具有较高的有效性与安全性,值得临床大力推广使用。

Objective To analyze the effectiveness and safety of stent angioplasty for vertebral artery stenosis via radial artery puncture. Methods 42 vertebral artery stenosis patients underwent the stent angioplasty from January to October 2019 in the hospital were selected and assigned to control group(n=21) and observation group(n=21) according to odd or even medical record No. Patients were treated with stent angioplasty via femoral artery puncture or radial artery puncture,respectively. The curative effect was probed. Results The time of implantation to balloon dilatation and average resting time in the observation group was shorter than that of control group(t=4.910,P=0.000;t=50.775,P=0.000);the average implantation time of sheathing canal in the observation group was longer than that of control group(t=1.684, P=0.044);the complication rate in the observation group(4.76%) was lower than that of control group(14.29%)(χ~2=5.269, P=0.022). Conclusion The stent angioplasty via radial artery puncture can improve the treatment effectiveness and safety. It shall be widely applied in clinical practice.