经股动脉和桡动脉途径行冠状动脉造影的对照研究

Comparison of the Coronary Artery Radiography via the Femoral and Radial Artery

目的 :比较经股动脉和经桡动脉途径行冠状动脉造影的优缺点。方法 :我院 2 0 0 0年 5月到 2 0 0 2年 10月住院、择期冠状动脉造影的病人 3 0 0例 ,按股动脉途径或桡动脉途径分为两组 ,比较其使用导管数、X光照射时间、手术操作时间、成功率、并发症发生率 ,并进行统计学处理。结果 :导管使用条数分别为 2 .3条和 1.3条 (P <0 .0 1) ;X光照射时间分别为 5 .3 2± 3 .5 8min和 4.64± 3 .2 5min(P <0 .0 5 >;手术操作时间分别为 2 1.6± 10 .5min和 15 .1± 10 .2min(P <0 .0 1)。成功率分别为 98.1%和 97.9% (P >0 .0 5 ) ;血管并发症分别为 13 .1%和 3 .5 7% (P <0 .0 1) (不包括疼痛和导尿等非血管并发症 )。结论 :经桡动脉途径行冠状动脉造影不需卧床 ,病人损伤小 ,止血方便 ,血管并发症少 ,节省费用 ,减少X光照射时间。安全、可行、便捷、经济。作者推荐使用桡动脉途径行冠状动脉造影。

Objective: We aimed to know the advantages and disadvantages of the coronary artery radiography via the femoral and radial artery by the comparison. Methods: 300 cases, admitted into our hospital from May, 2000 to October, 2002, were given coronary artery radiography at scheduled time. The patients were divided into two groups by the approach of the femoral and radial artery. The comparison of the numbers of the tubes used, the X-ray irradiation time, the operating time, the success rate and complication occurrence was made and the statistic analysis was carried out. Results: The analysis showed that the numbers of the tubes used were respectively 2.3 and 1.3 (P<0.01), the X-ray irradiation time was 5.32±3.58min.and 4.64±3.25min. (P<0.05), the operating time was 21.6±10.5min.and 15.1±10.2min. (P<0.01), the success rate 98.1% and 97.9% (P>0.05) and the vessel complication occurrence was 13.1% and 3.57% (P<0.01). Conclusion: The results showed that with the coronary artery radiography via the radial artery the patient did not need to be kept in bed, the damage was small,the bleeding was easily controlled, vessel complications was less, the expenses were less and the X-ray irradiation time was also less. The method was a safe, feasible, convenient and economical approach and it was suggested that the radial artery should be chosen in the coronary artery radiography.