经桡动脉和股动脉途径行经皮冠状动脉介入治疗高龄冠心病患者疗效比较

摘要

Objective To observe the effect of arteria radialis and arteria cruralis of percutaneous coronary intervention ( PCI) on eld-erly patients with coronary heart disease .Methods A total of 107 cases of elderly patients with coronary heart disease were selected and di-vided into arteria radialis group(45 cases)and arteria cruralis group(62 cases).Clinical characteristics,PCI characteristics,and complications of patients in both groups were observed .Results The operation success rate of radial artery and arteria cruralis group was 97.78% and 97.78%,respectively,and there was no significant difference (P>0.05).The radial artery group’s replacement way rate,coronary artery cath-eter insertion time , X-ray exposure time , the incidence of vascular complications of the puncture site compared with femoral artery group showed significant differences (P<0.05).Conclusion For elderly patients undergoing PCI treatment ,the radial artery can effectively reduce local complications of vascular puncture;the puncture failure rate is higher ,but attention should be paid to the failure of puncture and longer X-ray exposure time.%目的：观察经桡动脉和股动脉途径行经皮冠状动脉介入（ PCI）治疗高龄冠心病患者疗效。方法临床纳入进行PCI手术的高龄（≥80岁）冠心病患者107例，根据PCI通路的途径分为桡动脉组（45例）与股动脉组（62例）。观察两组患者临床特点、手术并发症等。结果桡动脉组与股动脉组手术成功率分别为97.78％和95.16％，差异无统计学意义（ P＞0.05）。两组患者更换途径率、冠状动脉导管插入时间、X线曝光时间、穿刺部位血管并发症发生率等比较，差异有统计学意义（ P ＜0.05）。结论对于行PCI治疗的高龄患者，桡动脉途径能够有效降低穿刺血管局部的并发症，但其穿刺失败率较高，穿刺及X线曝光时间均较长。