经远端桡动脉与常规桡动脉行冠状动脉介入治疗老年冠心病患者的效果

Effect of percutaneous coronary intervention through distal radial artery and conventional radial artery in the treatment of elderly patients with coronary heart disease

目的探讨经远端桡动脉与常规桡动脉行经皮冠状动脉介入(PCI)治疗老年冠心病患者的效果。方法选取2019年2月至2021年2月江苏省扬中市人民医院收治的78例老年冠心病患者作为研究对象,按照随机数字表法分为对照组(39例)与研究组(39例)。对照组采用常规桡动脉行PCI治疗方法,研究组采用经远端桡动脉行PCI治疗方法。比较两组患者的治疗效果、治疗前后的心功能参数左室收缩末期容积(LVESV)与左室射血分数(LVEF)及术后并发症发生情况。结果研究组的总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的LVESV、LVEF水平比较,差异无统计学意义(P>0.05)。两组患者治疗后的LVESV水平低于治疗前,LVEF水平高于治疗前,且研究组患者治疗后的LVESV水平低于对照组,LVEF水平高于对照组,差异有统计学意义(P<0.05)。研究组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论与常规桡动脉行PCI治疗相比,经远端桡动脉行PCI治疗年龄>60岁冠心病患者能够明显提高效果,有利于促进心功能恢复,减少术后并发症的发生。

Objective To explore the effect of percutaneous coronary intervention(PCI)through distal radial artery and conventional radial artery in the treatment of elderly patients with coronary heart disease.Methods A total of 78 elderly patients with coronary heart disease treated in Yangzhong People′s Hospital of Jiangsu Province from February 2019 to February 2021 were selected as the research objects.They were divided into the control group(39 cases)and the study group(39 cases)according to random number table method.The control group was treated with conventional radial artery PCI,and the study group was treated with distal radial artery PCI.The treatment effect,cardiac function parameters,left ventricular end systolic volume(LVESV)and left ventricular ejection fraction(LVEF)before and after treatment,postoperative complications were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).There were no significant differences in the levels of LVESV and LVEF between the two groups before treatment(P>0.05).The levels of LVESV in the two groups after treatment were lower than those before treatment,and the levels of LVEF in the two groups after treatment were higher than those before treatment,and the level of LVESV in the study group after treatment was lower than that in the control group,the level of LVEF in the study group after treatment was higher than that in the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with conventional radial artery PCI,PCI through distal radial artery can significantly improve the curative effect of patients with coronary heart disease aged>60 years,promote the recovery of cardiac function and reduce the incidence of postoperative complications.