ST段抬高心肌梗死患者经桡动脉冠状动脉介入术中血管通路痉挛的影响因素

Influencing factors of spasm of vascular access during transradial coronary intervention in patients with ST segment elevation myocardial infarction

目的探讨ST段抬高心肌梗死(STEMI)患者经桡动脉冠状动脉介入术(TRI)中血管通路痉挛的影响因素。方法回顾性抽取2018年1月至2020年12月于黄河中心医院行TRI的STEMI患者104例,将TRI术中发生血管通路痉挛者纳入发生组,其余患者纳入未发生组。比较两组基线资料,并应用Logistic分析TRI术中发生血管通路痉挛的影响因素。结果104例患者TRI术中未发生血管通路痉挛83例,发生血管通路痉挛21例,发生率为20.19%。发生组与未发生组患者合并糖尿病、高脂血症、导管交换次数、吸烟史比较,χ^(2)=27.442、19.143、20.312、19.855,P<0.05。Logistic分析结果显示,导管交换≥3次、合并糖尿病、合并高脂血症及有吸烟史是STEMI患者TRI术中发生血管通路痉挛的影响因素(OR=13.154、17.714、9.706、16.783,P<0.05)。结论STEMI患者TRI术中发生血管通路痉挛可能受导管交换次数、合并糖尿病、合并高脂血症及有吸烟史等多种因素的影响。

Objective To investigate the influencing factors of spasm of vascular access during transradial coronary intervention(TRI)in patients with ST segment elevation myocardial infarction(STEMI).Methods A total of 104 STEMI patients who received TRI for treatment in Huanghe Central Hospital from January 2018 to December 2020 was included retrospectively.The patients with vascular access spasm during TRI were included in the occurrence group,and the remaining patients were included in the non-occurring group.The baseline data of the two groups were compared,and Logistic was used to analyze the influencing factors of vascular access spasm during TRI operation.Results Among the 104 patients,vascular access spasm did not occur in 83 cases,and vascular access spasm occurred in 21 cases,with an incidence rate of 20.19%.The the combined with diabetes,combined with hyperlipidemia,times of catheter exchanges and smoking history were compared between the occurrence group and the non-occurring group,χ^(2)=27.442,19.143,20.312,19.855,P<0.05.Logistic analysis showed that catheter exchanges≥3 times,combined with diabetes,combined with hyperlipidemia,and smoking history were the influencing factors of spasm of vascular access during TRI in STEMI patients(OR=13.154,17.714,9.706,16.783,P<0.05).Conclusion The occurrence of spasm of vascular access during TRI in STEMI patients may be affected by the times of catheter exchange,combined with diabetes mellitus,hyperlipidemia and smoking history and other factors.