我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

冠心病患者冠状动脉介入治疗两种路径的比较

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第2期
页码:
194-196
栏目:
临床研究
出版日期:
2013-04-25

文章信息/Info

Title:
Comparism study on percutaneous coronary intervention procedure of CAD patients through two defferent artery accesses
作者:
祝 鹏; 谢 静; 任 晖; 刘胜强; 屈兰燕; 郑时康; 王甲文
(安康市中心医院心内科，陕西 安康725000)
Author(s):
ZHU Peng;  XIE Jing;  REN Hui;  LIU Sheng-qiang;  QU Lan-yan;  ZHENG Shi-kang;  WANG Jia-wen
(Department of Cardiology, Ankang City Central Hospital, Ankang 725000, Shaanxi, China)
关键词:
冠状动脉疾病; 经皮冠状动脉介入治疗术; 并发症; 经桡动脉介入
Keywords:
coronary disease;  percutaneous coronary intervention;  complications;  transfemoral coronary intervention
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:比较冠心病患者冠状动脉介入治疗两种路径，以说明经桡动脉路径的优越性。方法: 选择行经皮冠状动脉介入治疗的423例冠心病患者，按采用的路径分为经桡动脉路径组（桡动脉组，213例）和经股动脉路径组（股动脉组，210例），分析两组间首次穿刺置管成功率、手术成功率、平均住院日及术后并发症的发生率。结果： 两组间首次穿刺置管成功率、手术成功率比较无显著差异。桡动脉组平均住院日、局部血肿、尿潴留、失眠、烦躁及并发症的总发生率均显著低于股动脉组，两组间比较有显著性差异（P<0.05）。结论： 经桡动脉路径行经皮冠状动脉介入治疗安全可行，可以作为首选路径。
Abstract:
AIM:To explore the advantages of percutaneous coronary intervention (PCI) through transradial artery access. METHODS: A total of 423 patients undergoing percutaneous coronary intervention treatment were divided into two groups: patient group of 213 patients with PCI through transradial artery access and control group of 210 patients with PCI through transfemoral artery. The rate of one-time successful catheterization, success rate of PCI, mean hospital stay and incidence rates of postoperative complications were analyzed and compared. RESULTS: The incidence rate of postoperative complications in case group was much lower than in control group (P<0.05). CONCLUSION: Percutaneous coronary intervention treatment through transradial artery access is safe and feasible and should be the first choice approach.

参考文献/References

[1]Wijns W, Kolh P,Danchin N,et al.Guidelines on myocardial revascularization[J].Eur Heart J,2011,31(20):2501-2555.
[2]中华医学会心血管病学分会介入心脏病学组,中华心血管病杂志编辑委员会.中国经皮冠状动脉介入治疗指南2012(简本)[J].中华心血管病杂志,2012,40(4):271-277.
[3]Levine GN,Bates ER,Blankenship JC,et al.2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice[J].J Am Coll Cardiol,2011,58(24):e44-e122.
[4]Campeau L.Percutaneous radial artery approach for coronary angiography[J].Catheterization and Cardiovascular Diagnosis,1989,16(1):3-7.
[5]Kiemeneij F,Laarman GJ.Percutaneous transradial artery approach for coronary stent implantation[J].Cathet Cardiovasc Diagn,1993,30(2):358.
[6]王世宏,张艳玲,郭文忠,等.经肱动脉途径介入治疗冠状动脉复杂病变研究[J].中国循证心血管医学杂志,2012,4(4)：326-328.
[7]王 勇,王 琦,金元哲.经尺动脉和桡动脉径路行冠状动脉介入诊治的对比研究[J].中国医科大学学报,2012,41(2):185-186.
[8]李兴升，陈庆伟，王志刚，等. 冠状动脉造影和血管成形术诊治老年冠心病:经桡动脉与经股动脉途径对比[J].中国介入影像与治疗学,2011,8(4)259-262.
[9]周玉杰,赵迎新,曹 政,等.经桡动脉介入诊疗术后急性桡动脉闭塞的发生率及其预测因素[J].中华医学杂志,2007,87(22):1531-1534.
[10]高旭光.急性心肌梗死PCI治疗后脑卒中的预防及治疗策略[J].中国实用内科杂志,2011,31(5):330-332.
[11]李 浪,文伟明,黄伟强.经桡动脉行冠状动脉介入治疗并发骨筋膜室综合征一例[J].中华心血管病杂志,2010,38(1):85-86.

备注/Memo

备注/Memo:
收稿日期：2012-11-12.作者简介：祝鹏，主治医师，硕士 Email:dr.zhupeng@tom.com 共同第一作者：谢静，主管护师 Email:1139142523@qq.com
更新日期/Last Update: 2013-04-28