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目的探讨不同介入途径治疗复杂冠状动脉病变的临床疗效和可行性。方法选取614例有复杂冠状动脉病变冠心病患者,其中经桡动脉途径患者304例(桡动脉组),股动脉途径患者310例(股动脉组),观察介入手术成功率、卧床时间、术后发生并发症等情况。结果 2组患者在年龄、性别、危险因素等方面比较,差异均无统计学意义(P>0.05);桡动脉组手术成功率为97.7%,股动脉组为98.1%,2组成功率差异无统计学意义(P>0.05);桡动脉组术后并发症发生率明显低于股动脉组(P<0.05);卧床时间明显短于股动脉组(P<0.05);平均住院时间及住院期间主要心血管事件发生率差异无统计学意义(P>0.05)。结论经桡动脉途径介入治疗冠状动脉复杂病变成功率高,且术后并发症发生率低,不增加心血管事件。
Objective To investigate the clinical efficacy and feasibility of different interventional routes in the treatment of complex coronary lesions. Methods A total of 614 patients with coronary heart disease complicated with coronary artery disease were enrolled. Among them, 304 patients (radial artery group) and 310 patients (femoral artery group) who underwent transradial approach were observed. The success rate of interventional operation, bed rest time, Complications and other conditions. Results There were no significant differences in age, sex and risk factors between the two groups (P> 0.05). The success rate of radial artery group was 97.7% and that of femoral artery group was 98.1% The incidence of postoperative complications in the radial artery group was significantly lower than that in the femoral artery group (P <0.05); the time in bed was significantly shorter than that in the femoral artery group (P <0.05); the average length of stay and length of stay in hospital There was no significant difference in the incidence of cardiovascular events (P> 0.05). Conclusion The success rate of interventional treatment of complicated coronary artery by transradial approach is high, and the incidence of postoperative complications is low, without increasing cardiovascular events.