高危冠心病经桡脉途径行冠状动脉介入治疗术临床疗效、心功能及预后分析.docVIP

高危冠心病经桡动脉途径行冠状动脉介入治疗术临床疗效、心功能及预后分析 　　[摘要] 目的 高危冠心病经桡动脉途径行冠状动脉介入治疗术临床疗效、心功能及预后分析。 方法 选取2015年5月～2017年5月在我院经桡动脉途径行冠状动脉介入治疗的64例高危冠心病患者临床资料，患者经桡动脉行PCI术，比较本组患者治疗前后疗效指标及心功能、并发症。 结果 本组手术时间（1.58±0.68）h、住院时间（5.26±2.13）d，穿刺成功率96.88%（62/64）、手术成功率95.31%（61/64）；患者治疗后LVEF（65.17±2.13）%、LVEDD（51.23±7.32）mm、LVESD（50.05±7.64）mm优于治疗前（P中国论文网 /6/viewhtm　　[关键词] 高危冠心病；桡动脉；冠脉介入；心功能 　　[中图分类号] R541 [文献标识码] A [文章编号] 1673-9701（2018）01-0019-03 　　Clinical effectiveness， cardiac function and prognosis analysis of radial artery access in percutaneous coronary intervention in patients with high risk coronary heart disease 　　KE Fusheng1 QI Liping2 　　1.Beijing Changping Hospital，Beijing 102200，China；2.Beijing Changping Hospital of Traditional Chinese Medicine，Beijing 102200，China 　　[Abstract] Objective To investigate the clinical effectiveness， cardio function and prognosis analysis of radial artery access in percutaneous coronary intervention（PCI） in patients with high risk coronary heart disease. Methods Physical records of 64 patients with high risk coronary heart disease in our hospital from May 2015 to May 2017 who had been through radial artery access in PCI were collected. Indicators of clinical effectiveness， cardiac function were compared between before and after the treatment. Complications were recorded. Results The operation duration was （1.58±0.68）h. Hospitalization time was（5.26±2.13）d. The rates of successful puncture and successful operation were 96.88%（62/64） and 95.31%（61/64）respectively. LVEF（65.17±2.13）%， LVEDD（51.23±7.32）mm， LVESD（50.05±7.64）mm of patients after operation were significantly higher than those before operation（P 　　1 资料与方法 　　1.1 一般资料 　　研究对象选择2015年5月～2017年5月在我院行PCI术治疗的64例高危冠心病患者。纳入标准：均存在心肌缺血、心绞痛等冠心病临床症状，经冠脉造影显示冠脉病变狭窄75%，心功能分级≥3级，Allen试验结果呈阳性。排除标准：介入术禁忌证者，心功能分级 　　综上所述，经桡动脉途径行冠状动脉介入治疗高危冠心病的手术成功率高，有效改善心功能，且并发症发生少，生活质量明显改善，具有一定临床应用与研究价值。 　　[参考文献] 　　[1] 代聚平.经桡动脉途径介入诊断与治疗高危冠心病患者的临床效果观察[J].中医临床研究，2017，9（4）：133-134. 　　[2] 王娟.经股动脉和桡动脉两种不同途径介入治疗冠心病对比研究[J].四川?t学，201