50例急性心肌梗死患者经桡动脉行急诊PCI的疗效

目的：分析经桡动脉行急诊冠状动脉介入治疗（PCI）对急性心肌梗死患者抢救效果。方法：随机抽取我院2009年2月-2013年6月期间收治的急性心肌梗死并接受PCI治疗的100例患者为研究对象，采用数字表法使随机被分为经股动脉介入治疗组（TFA组，50例）和经桡动脉介入治疗组（TRA组，50例），对比两组 X穿刺点压迫时间、手术参数差异、手术成功率及并发症发生率。结果：两组患者手术时间以及手术成功率差异无统计学意义（P＞0.05）；与TFA组比较，TRA组门球时间（18.7±5.6）min比（20.1±6.7）min]、X线曝光时间（16.7±5.6）min比（22.1±6.7）min]显著增加，穿刺点压迫时间（14.8±5.7）min比（3.9±1.6）min]显著缩短，并发症发生率（16.0％比4.0％）显著下降（P＜0.05或＜0.01）。结论：与经股动脉行冠状动脉介入治疗比较，经桡动脉介入治疗疗效相似，但穿刺点压迫时间更短，并发症更少，故可作为临床治疗急性心肌梗死首选方案，更适用于基层医院。

Clinical therapeutic effect of transradial emergency PCI in 50 patients with acute myocardial infarc-tion

Objective：To analyze the salvage effect of transradial emergency percutaneous coronary intervention （PCI）on patients with acute myocardial infarction （AMI）.Methods：A total of 100 AMI patients,who hospitalized in our hospital from Feb 2009 to Jun 2013 and received PCI treatment,were randomly selected as subjects.They were divided into transfemoral artery intervention group （TFA group,n=50）and transradial artery intervention group （TRA group,n=50）according to random number method.Door-to-balloon time,operation duration,exposure time of X-ray,pressing time of puncture point,length of hospital stay,success rate of operation and incidence rate of complications were compared between two groups.Results：There were no significant difference in operation duration and success rate of operation between two groups （P〉0.05）;compared with TFA group,there were significant reductions in pressing time of puncture point （14.8±5.7）min vs.（3.9±1.6）min]and incidence rate of complications （16.0% vs.4.0%）,and significant rise in door-to-balloon time （18.7±5.6）min vs.（20.1±6.7） min],exposure time of X-ray （16.7±5.6）min vs.（22.1±6.7）min]in TRA group,P〈0.05 or〈0.01.Conclusion：Compared with transfemoral coronary intervention,the pressing time of puncture point of transradial inter-vention therapy and complication are less,so it can be used as preferred therapeutic method for acute myocardial infarction,and especially more suitable for primary hospitals.