经桡动脉全脑血管造影在老年急性脑血管疾病患者中的应用效果分析

Analysis on Application Effect of Transradial Whole Brain Angiography in Elderly Patients with Acute Cerebrovascular Disease

目的:分析老年急性脑血管疾病患者采用经桡动脉全脑血管造影的效果。方法:选取2020年1月—2022年9月绥阳县人民医院收治的200例急性脑血管疾病患者作为研究对象,根据奇偶数法分为两组,各100例。对照组采用经股动脉全脑血管造影,观察组采用经桡动脉全脑血管造影。比较两组检查相关指标、穿刺成功率、造影成功率、满意度、并发症发生情况。结果:观察组穿刺时间、手术操作时间、术后恢复时间短于对照组,造影剂使用剂量少于对照组,差异有统计学意义(P<0.001)。检查中,两组疼痛评分比较,差异无统计学意义(P>0.05);检查后,观察组疼痛评分低于对照组,差异有统计学意义(P<0.001)。观察组穿刺成功率、造影成功率高于对照组,差异有统计学意义(P<0.05)。观察组操作技巧、专业知识、技术质量、工作态度、责任心评分均高于对照组,差异有统计学意义(P<0.001)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.027)。结论:经桡动脉行血管造影在老年急性脑血管疾病患者中的应用效果较好,能缩短操作时间,减轻疼痛,提高造影及穿刺成功率,降低并发症发生率。

Objective:To analyze the effect of transradial whole brain angiography in elderly patients with acute cerebrovascular disease.Methods:A total of 200 elderly patients with acute cerebrovascular disease admitted to Suiyang County People's Hospital from January 2020 to September 2022 were selected as the study subjects.They were divided into two groups according to odd and even numbers,with 100 cases in each group.The control group underwent whole brain angiography via femoral artery,and the observation group underwent whole brain angiography via radial artery.The relevant indicators,puncture success rate,angiography success rate,satisfaction,and complications were compared between two groups.Results:The puncture time,operation time,and postoperative recovery time in the observation group were shorter than those in the control group,and the contrast medium dose in the observation group was less than that in the control group,with a statistically significant difference(P<0.001).During the examination,there was no statistically significant difference in the pain scores between the two groups(P>0.05).After examination,the pain score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.001).The puncture success rate and angiography success rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of operation skills,professional knowledge,technical quality,work attitude and responsibility in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.001).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.027).Conclusion:Transradial angiography has a good application effect in elderly patients with acute cerebrovascular disease,which can shorten the operation time,reduce pain,improve the puncture success rate and angiography success rate,and reduce the incidence of complications.