经桡动脉途径介入治疗58例老年冠心病患者临床研究.docVIP

经桡动脉途径介入治疗58例老年冠心病患者临床研究 　　摘 要 目的：探讨对老年冠心病患者采取经桡动脉途径介入治疗的临床效果。方法：选取116例需行介入治疗老年冠心病患者随机分为观察组和对照组各58例，观察组采用桡动脉途径，对照组采用股动脉途径，对两组患者的手术成功率、手术时间、住院时间以及术后并发症等方面进行观察对比。结果：观察组患者的手术成功率、手术操作时间与对照组相比，差异无统计学意义（P0.05）；观察组患者的住院时间、术后并发症发生率与对照组相比均明显降低（P0.05）。结论：相比经股动脉途径，经桡动脉途径介入治疗老年冠心病手术成功率相当，但能明显减少住院时间，降低术后并发症发生率，更加安全可靠。 　　关键词 冠心病介入治疗 桡动脉 股动脉 临床疗效 安全性 　　中图分类号：R654.3； R541.4 文献标识码：A 文章编号：1006-1533（2017）23-0034-02 　　Clinical study of transradial coronary intervention in 58 elderly patients with coronary heart disease 　　LUO Yuanlin， LI Linling， SONG Leiying， YANG Jinlong， CAO Weiping（Department of Vasculocardiology， the People’s Hospital of Leshan， Leshan 614000， China） 　　ABSTRACT Objective： To explore the effects of the transradial approach in percutaneous coronary intervention of elderly patients with coronary heart disease. Methods： One hundred and sixteen elderly patients with coronary heart disease were selected and randomly divided into an observation group （n=58） and a control group （n=58）. The observation group was operated by transradial approach and the control group with arteria cruralis approach. The success rate of operation， the time for operation and hospital stay and the incidence of complications were compared between the two groups. Results： There were no significant differences in success rate of operation and operation time in the two groups （P0.05） and however the time for hospital stay and the incidence of complications were less in the observation group than in the control group （P0.05）. Conclusion： Transradial approach can reduce the time for hospital stay and the incidence of complications in percutaneous coronary intervention of elderly patients with coronary heart disease with more safety and reliability although their success rate of operation is almost same. 　　KEY WORDS percutaneous coronary intervention； radial artery； arteria cruralis； clinical effects； security 　　?S着经皮冠状动脉介入治疗（percutaneous coronary intervention， PCI）的技术不断发展成熟，经验的不断积累，设备的逐渐改进，经皮