桡动脉介入治疗老年冠心病患者疗效分析.docVIP

桡动脉介入治疗老年冠心病患者疗效分析 　　[摘要] 目的 探讨老年冠心病患者?锒?脉介入治疗的效果。方法 方便选取该院2014年4月―2016年4月收治的进行动脉介入治疗的112例老年冠心病患者分别采用经桡动脉介入和经股动脉介入，每组56例，比较两组疗效。结果 观察组手术时间、卧床时间、出院时间、手术成功率与对照组比较差异无统计学意义（P0.05）。观察组并发症发生率为10.7%，显著优于对照组28.6%，差异有统计学意义（P0.05）。结论 经桡动脉和股动脉介入治疗老年冠心病患者均效果较好，但经桡动脉介入手术成功率高，并发症少，更为安全可靠，值得临床应用。 　　[关键词] 桡动脉；股动脉；老年患者；介入；冠心病 　　[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742（2017）02（b）-0055-03 　　[Abstract] Objective To discuss the effect of radial artery intervention treatment for senile patients with coronary heart disease. Methods 112 cases of patients were convenient selection with coronary heart disease needing the artery intervention treatment in our department from April 2014 to April 2016 were respectively treated with coronary rotational atherectomy intervention and intervention through transfemoral coronary， and the patients were divided into two groups with 56 cases in each， the curative effect was compared between the two groups. Results The differences in the operative time， bed time， discharge time and operative success rate between the two groups had no statistical significance（P0.05）， and the incidence rate of complications in the observation group was obviously better than that in the control group （10.7% vs 28.6%）， and the difference had statistical significance（P0.05）. Conclusion The effect of coronary rotational atherectomy intervention and intervention through transfemoral coronary treatment for senile patients with coronary heart disease is better， but the operation success rate of coronary rotational atherectomy interventional operation is higher with fewer complications， and it is more safe and reliable， which is worth clinical application. 　　[Key words] Radial artery； Arteria femoralis； Senile patients； Interventional； Coronary heart disease 　　随着人口老龄化进展和各种不良因素的影响，我国心血管疾病患病率逐年呈不断上升趋势。冠心病是临床常见且严重的心血管疾病，根据卫生部相关研究和统计表明[1]，我国目前心血管疾病患者超过2.9亿人，每年因心血管问题死亡几率达350万人；冠心病发病率已达到1.5%～3%[2]，而其中70%的人群属于不稳定性冠心病，因冠心病死亡的几率达到15%[3]。随着临床介入治疗的不断发展，经皮冠状动脉介入治疗（PCI）在治疗冠心病中得到了广泛使用[4]。但对