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目的探讨经桡动脉介入治疗冠心病临床疗效。方法回顾分析90例患者的临床资料。结果本组90例中有88例患者经桡动脉穿刺成功,仅2例改为肱动脉穿刺成功。并发症:出现前臂血肿3例,穿刺部位皮肤荨麻疹12例,未经特殊处置于2～4d自行吸收。无冠状动脉穿孔,急性血栓、闭塞和夹层形成。未出现桡动脉痉挛现象。平均卧床时间(3.2±1.2)h,平均住院(2.4±1.8)d。结论经桡动脉途径是一种安全有效更容易使患者接受的冠心病首选治疗方法。
Objective To investigate the clinical effect of transradial interventional therapy for coronary heart disease. Methods The clinical data of 90 patients were retrospectively analyzed. Results The group of 90 patients in 88 patients by radial artery puncture success, only 2 cases replaced brachial artery puncture success. Complications: 3 cases of forearm hematoma, 12 cases of skin urticaria puncture site, without special treatment in 2 ~ 4d self-absorption. No perforation of coronary arteries, acute thrombosis, occlusion and dissection. Radial artery spasm did not appear phenomenon. The average bed time (3.2 ± 1.2) h, the average hospitalization (2.4 ± 1.8) d. Conclusion Transradial approach is a safe and effective treatment for coronary heart disease which is more easily accepted by patients.