经桡动脉与股动脉行冠状动脉介入治疗的临床分析

摘要

目的 比较经桡动脉和股动脉行冠状动脉介入治疗冠心病患者的临床效果及并发症.方法 将 153例行冠状动脉介入治疗的患者按其意愿分为桡动脉组(75例),平均年龄(57.3±4.5)岁和股动脉组(78例),平均年龄(55.3±5.1)岁.记录两组X线曝光时间、手术操作时间、穿刺成功率、手术成功率、并发症及卧床时间. 结果 桡动脉组和股动脉组比较X线曝光时间[(17±5)min比(16±6)min,t=0.61,P=0.57]、手术操作时间[(49±9)min比(48±11)min,t=0.59,P=0.61]、穿刺成功率(98.7％比100.0％,x2=0.47,P=0.53)和手术成功率(96.0％比96.2％,x2=0.14,P=0.64)差异无统计学意义；穿刺并发症股动脉组高于桡动脉组(17.9％比2.7％,x2=9.54,P=0.002)；桡动脉术后卧床时间明显短于股动脉组[(4.5±1.2)h比(13.2±4.6)h,t=2.12,P=0.003]. 结论 经桡动脉途径行冠脉介入治疗具有并发症少、卧床时间短的优点,安全有效可行.%Objective To analyze the clinical effect and complication of trans-radial and femoral artery for percutaneous coronary intervention (PCI) in patients with coronary heart disease.Methods Totally 153 patients with coronary heart disease undergoing PCI were divided into radial artery and femoral artery groups.X-ray exposure time,operation time,the success rates of puncture and operation,in-bed time and complication were recorded. Results There were no significant differences in X-ray exposure time[(17±5)min vs.(16±6)min,t=0.61,P=0.57],operation time [(49± 9) min vs. (48 ± 11) min,t=0.59,P =0.61],the success rates of puncture (98.7％ vs.100.0％,x2 =0.47,P=0.53) and operation (96.0％ vs.96.2％,x2 =0.14,P=0.64) between radial artery and femoral artery groups.However,the complication rates was higher in femoral artery group than in radial artery group (17.9％ vs.2.7 ％,x2 =9.54,P=0.002),in-bed time was shorter in radial artery group than in femoral artery group [(4.5 ± 1.2)h vs.(13.2 ±4.6)h,t=2.12,P =0.003]. Conclusions The trans-radial artery PCI is safe,effective and feasible,with less complications and shorter in-bed time.