经股动脉与经桡动脉径路介入术治疗冠心病的临床效果对比观察.docxVIP

经股动脉与经桡动脉径路介入术治疗冠心病的临床效果对比观察 摘要：目的：比较经股动脉路径和经桡动脉路径对冠心病介入治疗的临床效果，探讨这两种手术路径的优点和缺点，为临床寻找最佳手术路径治疗冠心病。方法：将2014年5月-2014年6月我院收治的并符合介入手术指征的冠心病患者112例随机分为观察组和对照组，每组56例，对照组通过股动脉进行介入治疗，观察组通过桡动脉进行介入治疗，比较两组手术操作成功率，记录两组穿刺时间、手术时间、住院时间并作比较，同时比较两组患者术后并发症的发生情况。结果：观察组手术成功率为94.64%（53/56），对照组为91.07%（51/56），两者比较无明显差异（P0.05）;观察组的穿刺时间、手术时间、住院时间均短于对照组，差异具有统计学意义（P0.05）;观察组术后发生动静脉瘘、局部感染、表皮坏死等并发症的发生率为7.14（4/56），明显较对照组21.43%（12/56）低，差异也具有统计学意义（P0.05）。结论：在冠心病介入治疗中，经股动脉和经桡动脉路径的手术成功率相当，但经桡动脉术后的并发症少、安全性高，此路径可以作为临床上介入术治疗冠心病的首选路径。 关键词：股动脉；桡动脉；介入术；冠心病；临床效果 Through the femoral artery and clinical effect comparison of percutaneous radial artery approach for coronary heart disease intervention in the treatment of observation Abstract: Objective: To compare the femoral artery via radial artery path and path for the interventional therapy of coronary heart disease and the clinical effect of the two surgical approaches, advantages and disadvantages, to find the best path for clinical surgery. Methods: from 2014 May -2014 year in June in our hospital, and in accordance with the indications for surgery in patients with coronary heart disease in 112 cases were randomly divided into observation group and control group, with 56 cases in each group, the control group through femoral artery interventional therapy, the observation group through radial artery interventional therapy, compared two groups of operation success rate, two the average puncture time, operation time, hospitalization time and compared, at the same time, compared two groups of patients with postoperative complications. Results: in the observation group, the success rate of operation was 94.64% (53/56), the control group was 91.07% (51/56), no significant difference between them (P0.05); to observe the puncture time, operative time, hospitalization time was shorter than the control group, the difference was statistically significant (P0.05); occurrence of arteriovenous fistula, local infection, skin necrosis of the postoperative complications of