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目的比较经桡动脉与股动脉入路行经皮冠状动脉介入术治疗老年冠心病合并慢性左心衰竭的效果。方法选取我院2014年1月~2016年1月收治的老年冠心病合并慢性左心衰竭患者126例,按照介入治疗的不同入路分为观察组和对照组各63例,观察组经桡动脉入路治疗,对照组经股动脉入路治疗,比较两组患者临床治疗情况。结果 两组患者手术时间比较无统计学差异(P>0.05),而观察组患者的穿刺至置管时间、X线曝光时间及卧床时间均明显短于对照组(P<0.01或P<0.05);观察组患者穿刺相关并发症和急性左心衰竭各发生1例,并发症总发生率3.17%,对照组并发症总发生率23.81%,组间比较差异显著(P<0.01)。结论经桡动脉入路行经皮冠状动脉介入术治疗老年冠心病合并慢性左心衰竭,可显著缩短患者术后卧床时间,并明显降低其术后发生穿刺相关并发症、体循环栓塞等并发症几率。
Objective To compare the effect of transradial and femoral artery percutaneous coronary intervention in the treatment of elderly patients with coronary heart disease and chronic left heart failure. Methods A total of 126 elderly patients with coronary heart disease and chronic left heart failure admitted to our hospital from January 2014 to January 2016 were selected and divided into observation group and control group according to different approaches of interventional therapy. The observation group was treated with radial artery The patients in the control group were treated by the femoral artery, and the clinical treatment of the two groups was compared. Results There was no significant difference in operative time between the two groups (P> 0.05), but the time from puncture to catheterization, X-ray exposure and bed rest time in the observation group were significantly shorter than those in the control group (P <0.01 or P <0.05) The incidence of puncture-related complications and acute left heart failure in the observation group were 1 case, the total complication rate was 3.17% and the control group was 23.81%. There was significant difference between the two groups (P <0.01). Conclusion Percutaneous coronary intervention via radial artery for the treatment of senile coronary heart disease complicated with chronic left heart failure can significantly reduce the postoperative bed rest time and significantly reduce the postoperative complications such as puncture related complications and systemic embolism.