摘要
目的对比经桡动脉途径与经股动脉途径经皮冠状动脉介入术(PCI)在高龄冠心病患者中的应用效果。方法选取2015年5月—2017年5月在吉林油田总医院行PCI的高龄冠心病患者104例,根据意向性分组原则分为对照组50例和研究组54例。对照组患者行经股动脉途径PCI,研究组患者行经桡动脉途径PCI。比较两组患者手术相关指标、手术成功率及术后并发症发生情况、手术前后心功能指标、随访期间不良心血管事件发生率。结果两组患者手术时间、X线暴露时间、造影剂用量及住院时间比较,差异无统计学意义(P>0.05);研究组患者穿刺时间长于对照组,术后卧床时间短于对照组(P<0.05)。两组患者手术成功率比较,差异无统计学意义(P>0.05)。研究组患者术后并发症发生率低于对照组(P<0.05)。两组患者手术前后左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)比较,差异无统计学意义(P>0.05)。两组患者随访6、12、24个月不良心血管事件发生率比较,差异无统计学意义(P>0.05)。结论经桡动脉途径与经股动脉途径PCI治疗高龄冠心病的近、远期效果相当,均可有效改善患者心功能,且安全性较高,但经桡动脉途径PCI可有效减少患者术后卧床时间及并发症的发生。
Objective To compare the application effect between transradial approach and transfemoral approach PCI in treating coronary heart disease patients with advanced age.Methods A total of104coronary heart disease patients with advanced age were selected in Jilin Oilfield General Hospital from May2015to May2017,all of them received PCI and they were divided into control group(n=50)and study group(n=54)according to intentionality grouping principle.Patients of control group received transfemoral approach PCI,while patients of study group received transradial approach PCI.Surgical indicators,operative success rate,incidence of postoperative complications,index of cardiac function before and after operation,incidence of adverse cardiac events during follow-up were compared between the two groups.Results No statistically significant differences of duration of operation,X-ray exposure duration,dosage of contrast media or hospital stays was found between the two groups(P>0.05);duration of puncture of study group was statistically significantly longer than that of control group,while postoperative bedridden time of study group was statistically significantly shorter than that of control group(P<0.05).No statistically significant differences of operative success rate was found between the two groups(P>0.05).Incidence of postoperative complications of study group was statistically significantly lower than that of control group(P<0.05).Nostatistically significant differences of LVEF,LVESD or LVEDD was found between the two groups before or after treatment(P>0.05).No statistically significant differences of incidence of adverse cardiac events was found during the6-,12,24-month follow-up(P>0.05).Conclusion Transradial approach and transfemoral approach PCI has similar recent and long-term effect in treating coronary heart disease patients with advanced age,both can improve the cardiac function with relatively high safety,while transradial approach PCI can effectively shorten the postoperative bedridden time and incidence of compl
出处
《实用心脑肺血管病杂志》
2017年第B12期4-6,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
冠心病
血管成形术
气囊
桡动脉
老年人
80以上
Coronary disease
Angioplasty,balloon,coronary
Radial artery
Aged,80 and over
