摘要
目的 分析经桡动脉入路和经股动脉入路择期行经皮冠状动脉介入治疗(PCI)冠心病对老年患者心功能效果。方法 回顾性收集2020年6月至2022年2月邯郸市第四医院收治的80例老年冠心病患者临床资料,根据手术方式的不同将其分为经股动脉途径择期行PCI治疗的股动脉穿刺组(38例)和经桡动脉途径择期行PCI治疗的桡动脉穿刺组(42例),所有患者术后均随访3个月。比较2组手术情况、住院期间并发症发生情况、术前及术后3个月心功能、术前及术后24 h心理和精神状况。结果 桡动脉穿刺组穿刺时间长于股动脉穿刺组,术后卧床、住院时间短于股动脉穿刺组(P<0.05)。术后3个月与术前比较,2组左室舒张末期内径降低,左室射血分数、短轴收缩率升高,组间比较,差异均无统计学意义(P>0.05)。术后24 h与术前比较,2组汉密顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分升高,桡动脉穿刺组低于股动脉穿刺组(P<0.05),股动脉穿刺组简易精神状态检查(MMSE)评分降低,且低于桡动脉穿刺组(P<0.05)。住院期间,桡动脉穿刺组总穿刺并发症发生率和总术后并发症发生率(7.14%和2.38%)均低于股动脉穿刺组(26.32%和15.79%,P<0.05)。结论 经桡动脉入路和经股动脉入路择期行PCI均可有效改善老年冠心病患者心功能,其中经桡动脉入路穿刺时间较长,但其可有效促进患者术后恢复,改善患者心理状态和精神状态,同时降低穿刺并发症和术后并发症的发生。
Objective To analyze the effects of elective PCI through radial and femoral approaches on cardiac function in elderly patients with coronary heart disease.Methods Clinical data of 80 cases of elderly patients with coronary heart disease were retrospectively collected from June 2020 to February 2022 Handan Fourth Hospital,and then they were divided into the femoral artery approach marked PCI treatment via femoral artery into the femoral artery puncture group(38 cases)and through radial artery pathway for the treatment of haing electie PCI via radial artery into the radial artery puncture group(42 cases),All patients were followed up for 3 months.The operation conditions,complications during hospitalization and the cardiac function,psychological status and mental status before operation and 24 h after operation were compared between the two groups.Results The puncture time of the radial artery puncture group was longer than that of the femoral artery puncture group,and the postoperative bed rest and hospital stay time were shorter than those of the femoral artery puncture group(P<0.05).At 3 months after operation,left ventricular end-diastolic decreased,left ventricular ejection fraction and short axis systolic rate increased in the two groups compared with those before operation,and there was no significant difference between the two groups(P>0.05).At 3 months after operation,the scores of hamilton depression scale(HAMD)and hamilton anxiety scale(HAMA)of the two groups increased compared with those before operation,which in the radial artery puncture group were higher than those of the femoral artery puncture group(P<0.05),and score of the Mini-Mental State examination(MMSE)in the femoral artery puncture group increased compared with those before operation,and which was lower than in the radial artery puncture group(P<0.05).During hospitalization,the total incidence of puncture complications and postoperative complications in the radial artery puncture group(7.14%and 2.38%)were lower than those in the femoral arte
作者
武赟堂
王雷
王燕涛
Wu Yuntang;Wang Lei;Wang Yantao(Department of CardiologyⅡ,Handan Fourth Hospital,Handan 056200,China)
出处
《中国临床保健杂志》
CAS
2023年第2期255-259,共5页
Chinese Journal of Clinical Healthcare
基金
河北省中医药管理局科研计划项目(2020371)。
关键词
冠心病
经皮冠状动脉介入治疗
桡动脉
股动脉
老年人
Coronary disease
Percutaneous coronary intervention
Radial artery
Femoral artery
Aged
