经桡动脉行冠状动脉介入治疗老年患者的效果观察

目的探讨经桡动脉途径行冠状动脉介入治疗的效果,为临床提供参考依据。方法 2007年3月至2013年3月我院收治年龄大于等于70岁的198例冠心病患者,按照穿刺途径将其分为桡动脉组(n=100)和股动脉组(n=98),比较2组患者的X射线曝光时间、手术时间、造影剂用量、穿刺成功率、手术成功率、术后血管并发症、术后患者不适应发生率等,并进行统计学分析。结果 2组患者在X射线曝光时间、手术时间、造影剂用量、穿刺成功率和手术成功率差异无统计学意义(P0.05)。桡动脉组术后血管并发症少于股动脉组,差异具有统计学意义(P0.05)。结论经桡动脉冠状动脉介入治疗手术治疗老年冠心病患者安全可行,术后并发症少。

Application of transradial approach in percutaneous coronary intervention for elderly patient coronary artery disease

Objective To explore the effect of transradial approach in percutaneous coronary intervention for elderly patient with coronary artery disease,and provide reference for clinic. Methods There were 198 patients older than 70 years with coronary artery disease in our hospital from March 2007 to March 2013,who were divided into the radial group（n=100） and the femoral group（n=98） according to differ-ent puncture pathways. The X-ray exposure time,operative time,amount of contrast medium,the success rate of puncture,achievement ratio of operation and venous complications were compared and analyzed. Results The X-ray exposure time,operative time,amount of contrast me-dium,the success rate of puncture,achievement ratio of operation of 2 groups has no significant differences（P〉0. 05）. The venous complica-tion of radial group was less than that of femoral group,the difference was statistical significance（P〈0. 05）. Conclusion The transradial approach in percutaneous coronary intervention for elderly patient with coronary artery disease was feasible and safe,with less complication.