经远端桡动脉入径在冠状动脉造影及介入治疗中的应用

马龙; 王芳; 何胜虎; 朱晓彤

doi:10.7619/jcmp.20222916

经远端桡动脉入径在冠状动脉造影及介入治疗中的应用

Application of transradial artery access in coronary angiography and interventional therapy

摘要

摘要:
目的探讨经远端桡动脉入径在冠状动脉造影及介入治疗中的应用价值。
方法选择住院期间行冠状动脉造影术的患者600例为研究对象, 随机分为试验组(经远端桡动脉入径, n=300)和对照组(常规经桡动脉入径, n=300)。比较2组主要危险因素、穿刺成功率、术中及术后并发症(出血或血肿、假性动脉瘤、水泡、动脉闭塞)的发生情况。
结果 2组患者性别、年龄、高血压、糖尿病、高脂血症、体质量指数比较，差异无统计学意义(P>0.05)。试验组较对照组穿刺成功率低、穿刺时间长，差异有统计学意义(P < 0.05); 试验组总并发症发生率为2.3%, 低于对照组的11.7%, 差异有统计学意义(P < 0.05)。
结论经远端桡动脉入径具有安全性高、术后并发症少、患者舒适度高等优点，为预防桡动脉闭塞提供了很好的方法。

Abstract:
Objective To explore the application value of transradial artery access incoronary angiography and interventional therapy.
Methods A total of 600 patients who were selected for coronary angiography during hospitalization were selected and were randomly divided into experimental group (distaltransradial artery access, n=300) and control group (conventional transradial artery access, n=300). The main risk factors, puncture success rate, and incidence of intraoperative and postoperative complications (haemorrhage or hematoma, pseudoaneurysm, blisters, arterial occlusion) were compared between the two groups.
Results There were no statistically significant differences between the two groups in terms of sex, age, hypertension, diabetes, hyperlipidemia and body mass index (P>0.05). Compared with the control group, the experimental group had a lower success rate and longer puncture time (P < 0.05). The total complication rate of the experimental group was 2.3%, which was lower than 11.7% of the control group (P < 0.05).
Conclusion The transradial artery access has the advantages of higher safety, less postoperative complications and higher patients' comfort, which provides a good method for preventing radial artery occlusion.

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