经桡动脉途径介入手术治疗冠心病的临床疗效分析

Analysis on curative effect of transradial intervention operation on coronary heart disease

目的：研究经桡动脉途径介入治疗冠心病的临床疗效。方法：本文采用回顾性分析方法。选取笔者所在医院2012年1月～2014年1月经桡动脉途径介入手术治疗的冠心病患者450例，作为研究对象。分析研究对象手术成功率、术后的不良反应等情况。结果：450例研究对象中，经桡动脉穿刺成功的有436例经桡动脉，成功率为96.89%，另外14例穿刺失败，改为股动脉穿刺。术后，患者住院观察、康复2～5天。450例研究对象0死亡。有8例发生穿刺部位血肿，有1例出现迷走神经压迫反射，有11例穿刺部位出现荨麻疹，共20例患者出现并发症，发生率为4.44%。结论：经桡动脉途径介入手术治疗冠心病对患者创伤小，并发症发生率低，治疗效果明显，可以在临床治疗冠心病推广使用。

To study the clinical efficacy of the Transradial Intervention in the treatment of coronary heart disease.Methods: It adopted the retrospective analysis. 450 patients of coronary heart disease treated with Transradial Intervention from January 2012 to January, 2014 in the hospital were selected as research objects..The successful rate of surgery, postoperative adverse reactions were analyzed .Results:436 cases puncturing the radial artery in the 450 cases were successful, the success rate was 96.89%, while 14 cases puncture failed to femoral artery puncture. After surgery, patients hospitalized for observation, 2-5 days for rehabilitation. No death case in the 450 cases. Eight cases occurred puncture site hematoma, 1patient had reflex vagus nerve compression, and 11 cases had puncture site urticaria. 20 patients had complications, the incident rate was 4.44%. Conclusion: Transradial interventional surgical treatment for coronary heart disease has less trauma, low complication rate, but the treatment effect is obvious. It can be applied widely in clinical treatment of coronary heart disease.