[1]杜依浓.经桡动脉与股动脉途径介入治疗老年冠心病患者的疗效及安全性比较[J].医学信息,2022,35(12):172-174.[doi:10.3969/j.issn.1006-1959.2022.12.043]
 DU Yi-nong.Comparison of Efficacy and Safety of Interventional Therapy through Radial Artery and Femoral Artery in Elderly Patients with Coronary Heart Disease[J].Medical Information,2022,35(12):172-174.[doi:10.3969/j.issn.1006-1959.2022.12.043]
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经桡动脉与股动脉途径介入治疗老年冠心病患者的疗效及安全性比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年12期
页码:
172-174
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Comparison of Efficacy and Safety of Interventional Therapy through Radial Artery and Femoral Artery in Elderly Patients with Coronary Heart Disease
文章编号:
1006-1959(2022)12-0172-03
作者:
杜依浓
(大连市金州区第一人民医院心内一科,辽宁 大连 116100)
Author(s):
DU Yi-nong
(The First Department of Cardiology,the First People’s Hospital of Jinzhou District,Dalian 116100,Liaoning,China)
关键词:
冠心病老年患者经皮冠状动脉介入治疗桡动脉股动脉
Keywords:
Coronary heart diseaseElderly patientsPercutaneous coronary interventionRadial arteryFemoral artery
分类号:
R541.4
DOI:
10.3969/j.issn.1006-1959.2022.12.043
文献标志码:
A
摘要:
目的 研究经桡动脉与股动脉途径介入治疗老年冠心病患者的临床疗效及安全性。方法 选取2018年7月-2020年7月于大连市金州区第一人民医院行经皮冠状动脉介入治疗(PCI)的80例老年冠心病患者,依据手术介入途径的不同分为桡动脉组(经桡动脉介入治疗)与股动脉组(经股动脉介入治疗),各40例。比较两组手术相关指标、术后恢复情况、手术并发症、出血及主要不良心脑血管事件(MACCE)的发生情况。结果 两组一次性穿刺成功率、PCI成功率、X线曝光时间、手术操作时间以及造影剂使用量比较,差异无统计学意义(P>0.05);桡动脉组加压包扎时间、术后卧床时间及术后住院时间均短于股动脉组(P<0.05);桡动脉组手术并发症发生率、出血事件发生率均低于股动脉组(P<0.05);两组MACCE总发生率比较,差异无统计学意义(P>0.05)。结论 经桡动脉与股动脉途径介入治疗老年冠心病患者的手术效果相当,但经桡动脉介入治疗术后止血更快,卧床及住院时间更短,且并发症及出血风险较低。
Abstract:
Objective To study the clinical efficacy and safety of interventional therapy through radial artery and femoral artery in elderly patients with coronary heart disease.Methods A total of 80 elderly patients with coronary heart disease who underwent percutaneous coronary intervention (PCI) in the First People’s Hospital of Jinzhou District from July 2018 to July 2020 were selected and divided into radial artery group (radial artery intervention) and femoral artery group (femoral artery intervention) according to different surgical intervention approaches, with 40 cases in each group. The operation-related indicators, postoperative recovery, surgical complications, bleeding and major adverse cardiovascular events (MACCE) were compared between the two groups.Results There was no statistically significant difference in the one-time puncture success rate, PCI success rate, X-ray exposure time, operation time, and the amount of contrast agent used in the two groups (P>0.05). The compression bandaging time, postoperative bed time and postoperative hospital stay in the radial artery group were shorter than those in the femoral artery group(P<0.05). The incidence of surgical complications and bleeding events in the radial artery group were lower than those in the femoral artery group(P<0.05), but there was no significant difference in the total incidence of MACCE between the two groups (P>0.05).Conclusion Transradial artery and femoral artery interventional treatment of elderly patients with coronary heart disease have the same surgical effect, but transradial interventional therapy has faster hemostasis, shorter bed and hospital stay, and lower risk of complications and bleeding.

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更新日期/Last Update: 1900-01-01