稳定型心绞痛患者门诊冠脉造影可行性的研究.docVIP

稳定型心绞痛患者门诊冠脉造影的可行性研究 陈亮波 陈灿 黄石安 广东医学院附属医院心内科 广东湛江 524001 摘要：目的：研究稳定型心绞痛患者门诊冠脉造影的可行性。方法：2006年1月-2008年5月,临床诊断为稳定型心绞痛、Allen试验阳性、拟行冠脉造影患者265例,随机分为门诊冠脉造影组(133例)和病房冠脉造影组(132例)。冠脉造影选用5F TIG造影导管,经桡动脉途径进行。比较两组在穿刺时间、X线光照时间、造影时间、穿刺成功率、造影成功率、并发症发生率、总费用等方面的差别。结果：两组在穿刺时间（2.15±1.48min比2.14±1.52min）、X线光照时间(3.07±1.67min 比3.13±1.49min)、造影时间(11.65±2.74min比10.97±2.93min)、穿刺成功率(97.0%比96.2%)、造影成功率(96.2%比95.5%)、并发症发生率(2.2%比2.3%)等方面相比，P﹥0.05，差异无显著性。总费用上相比，（￥3578.8±330.5比￥5068.7±350.7），P﹤0.05，有统计学意义。结论：在门诊能很好地完成稳定性心绞痛患者的冠脉造影，不增加并发症发生率，能有效降低检查费用，值得临床推广应用。 关键词：冠状动脉造影；桡动脉途径；门诊 A research on the feasibility of outpatien Coronary Angiography for stable angina pectoris patients Chen Liangbo, Chen Can, Huang Shian Department of cardiology, affiliated hospital of guangdong medical college , zhanjian 524001, china. 【Abstract】　Objective :To study the feasibility of outpatient Coronary Angiography for stable angina pectoris patients. Methods: 265 patients who were diagnosed stable angina pectoris were randomly divided into outpatient Coronary Angiography group of 133 cases and hospital Coronary Angiography group of 132 cases during Jan 2006 to may 2008. Selective coronary angiographies were performed with 5F TIG catheters via transradial artery approach. The time of puncturing 、under X-ray fluoroscopy and operation, the successful rates of puncturing and coronary angiography ，the rate of complication,and the total charges were observed . Results: There were no difference in time of puncturing （2.15±1.48min vs 2.14±1.52min）and under X ray fluoroscopy (3.07?.67min vs 3.13?.49min)and operation (11.65?.74min vs 10.97?.93min),nor in successful rates 的差别。of puncturing (97.0%vs96.2%) and coronary angiography(96.2% vs 95.5%).. There were no difference in the rate of complication(2.2% vs 2.3%). But there were significant difference in the total charges（￥3578.8±330.5 vs ￥5068.7±350.7），P﹤0.05. Conclusions ：Coronary angiography for stable angina pectoris patients can be accomplished sucessfully outpati