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目的比较经桡动脉入路与经股动脉入路经皮冠状动脉介入(PCI)治疗老年冠心病的临床效果。方法选取2014年2月—2015年2月喀什地区第一人民医院心内科收治的老年冠心病患者200例,按照随机数字表法分为对照组和观察组,每组100例。对照组患者给予经股动脉入路PCI治疗,观察组患者给予经桡动脉入路PCI治疗。比较两组患者手术时间、穿刺时间、X线暴露时间、穿刺成功率、术后并发症发生情况及术后住院时间;两组患者术后均随访1个月,观察对照组患者足背动脉搏动情况及观察组患者术侧桡动脉搏动情况。结果两组患者手术时间、穿刺时间、X线暴露时间及穿刺成功率比较,差异无统计学意义(P>0.05)。观察组患者术后局部血肿发生率、假性动脉瘤发生率、动静脉瘘发生率、血管迷走反射发生率低于对照组,术后住院时间短于对照组(P<0.05)。对照组患者随访期间未出现足背动脉异常搏动,观察组患者随访期间未出现术侧桡动脉异常搏动。结论经桡动脉入路PCI较经股动脉入路PCI治疗老年冠心病患者的临床效果更佳,能有效减少老年患者术后并发症的发生,缩短术后住院时间。
Objective To compare the clinical effects of percutaneous coronary intervention (PCI) via transradial approach and femoral arterial approach in elderly patients with coronary heart disease. Methods A total of 200 elderly patients with coronary heart disease were admitted to Department of Cardiology, First People’s Hospital of Kashi Prefecture from February 2014 to February 2015. The patients were divided into control group and observation group according to random number table method, with 100 cases in each group. Patients in the control group were given transcatheter arterial PCI and patients in the observation group received transradial PCI. The operation time, puncture time, X-ray exposure time, puncture success rate, postoperative complications and postoperative hospital stay were compared between the two groups. The patients in both groups were followed up for 1 month, and the dorsalis pedis artery pulsation The situation and observation group of patients with radial artery pulse side of the situation. Results There was no significant difference in operative time, puncture time, X-ray exposure time and puncture success rate between the two groups (P> 0.05). The incidence of postoperative local hematoma, pseudoaneurysm, incidence of arteriovenous fistula and vasovagal reflex in the observation group were lower than those in the control group, and the postoperative hospital stay was shorter than that in the control group (P <0.05). During the follow-up period, no abnormal dorsalis pedis artery was observed in the control group. Abnormal beating of the radial artery occurred during the follow-up period in the observation group. Conclusion The clinical effect of transradial PCI is better than PCI via PCI in senile patients with coronary heart disease. It can effectively reduce the incidence of postoperative complications in elderly patients and shorten the postoperative hospital stay.