经桡动脉脑血管造影及术后血管封堵术对患者疗效及安全性观察

Efficacy and Safety of Transradial Angiography and Occlusion

目的:探讨经桡动脉脑血管造影(transradial angiography,TRA)及术后血管封堵术对患者疗效及安全性。方法:选取我院2019年1月-2019年10月收治的193例行脑血管造影及术后血管封堵术的患者作为研究对象,将其随机分为TRA组(n=97例)和经股动脉途径(Transfemoral approach,TFA)组(n=96例)。观察两组穿刺成功率、术后3 d主要终点事件发生率、穿刺时间、术后住院时间、手术时间、受线时间、材料费、穿刺点局部并发症等。结果:TRA组穿刺成功率为98.97%,TFA组穿刺成功率为97.91%,两组对比无统计学意义(P>0.05);TRA组的穿刺时间长于TFA组、术后住院时间少于TFA组,差异有统计学意义(P<0.05);TRA组的受线时间、手术时间及材料费显著低于TFA组,有统计学意义(P<0.05);两组术后3 d主要终点事件发生率比较无统计学意义(P>0.05);TRA组穿刺点血肿及穿刺点并发症发生率较TFA组明显降低,差异有统计学意义(P<0.05),且无其他并发症情况发生。结论:经桡动脉脑血管造影(TRA)及术后血管封堵术具有局部穿刺点并发症发生率低、术后住院时间短、费用低、可以提高患者的舒适度等特点,更为安全有效,具有一定的临床优势。

Objective:To explore the efficacy and safety of transradial angiography(TRA)and postoperative vascular occlusion for patients.Methods:193 patients who underwent cerebral angiography and postoperative vascular occlusion in our hospital from January 2019 to October 2019 were selected as the research object,and they were randomly divided into TRA group(n=97 cases)and transfemoral approach(TFA)group(n=96 cases).Observe the success rate of puncture,the incidence of the main end point event at 3 d postoperatively,puncture time,postoperative hospital stay,operative time,receiving time,material cost,local complications of puncture site,etc.Results:The puncture success rate in the TRA group was 98.97%,and the puncture success rate in the TFA group was 97.91%,which was not statistically significant(P>0.05).The receiving time,operation time and material cost of the TRA group were significantly lower than that of the TFA group,which was statistically significant(P<0.05).The comparison of the incidence of the main endpoint events at 3 days after the two groups,no statistical significance(P>0.05).The incidence of puncture point hematoma and puncture point complications in the TRA group was significantly lower than that in the TFA group,the difference was statistically significant(P<0.05),and no other complications occurred.Conclusion:Transradial cerebral angiography(TRA)and postoperative vascular occlusion had the characteristics of low incidence of local puncture point complications,short postoperative hospital stay,low cost,and could improve patient comfort,more safe and effective,had certain clinical advantages.