两种桡动脉通路在经皮冠状动脉介入治疗中的可行性及安全性对比

Feasibility and Safety Comparison of Two Radial Artery Pathways in Coronary Interventional Therapy

目的:比较两种桡动脉通路在经皮冠状动脉介入治疗(PCI)中的可行性及安全性。方法:选择2020年9月—2022年12月玉环市第二人民医院内二科收治的120例行PCI患者。采用随机数表法分为两组,各60例,鼻烟窝区组选择远端桡动脉入径(TRA)即鼻烟窝处作为穿刺点,常规组选择经典TRA。比较两组的穿刺成功率、桡动脉痉挛发生率、手臂疼痛程度及术后并发症发生率。结果:两组术中均未发生桡动脉痉挛的情况;鼻烟窝区组手臂疼痛程度低于常规组,穿刺成功率高于常规组,差异有统计学意义(P<0.05)。鼻烟窝区组术后并发症总发生率为6.67%,低于常规组的16.67%,差异有统计学意义(P<0.05)。结论:经鼻烟窝区穿刺行PCI可以提高穿刺成功率,减轻患者术后手臂疼痛程度,降低术后并发症发生率。

Objective:To compare the feasibility and safety of two radial artery pathways in percutaneous coronary intervention(PCI).Method:A total of 120 patients with routine PCI admitted to the Second Internal Medicine Department of Yuhuan Second People's Hospital from September 2020 to December 2022 were selected.Random number table method was used to divide the patients into two groups,with 60 cases in each group.The tabatiere anatomique group selected the distal transradial artery approach(TRA),that is,the tabatiere anatomique,as the puncture point,and the conventional group selected classic TRA.The puncture success rate,the incidence of radial artery spasm,the degree of arm pain and the incidence of postoperative complications were compared between the two groups.Result:No radial artery spasm occurred in both groups.The degree of arm pain in tabatiere anatomique group was lower than that in conventional group,and the puncture success rate was higher than that in conventional group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in tabatiere anatomique group was 6.67%,which was lower than 16.67% in conventional group,and the difference was statistically significant(P<0.05).Conclusion:Selecting the tabatiere anatomique as the puncture point for PCI can improve the success rate of puncture,reduce the degree of postoperative arm pain,and reduce the incidence of postoperative complications.