| 摘要: |
| ［摘要］目的 观察经桡动脉和股动脉行动脉介入诊疗的效果以及术后并发症、不良反应的发生率．方法 回顾2010年3月至2015年3月在蚌埠医学院第二附属医院行冠脉介入诊疗的160例患者的临床资料，根据穿刺部位不同分为桡动脉穿刺组（n＝80，行桡动脉穿刺）和股动脉穿刺组（n＝80，行股动脉穿刺）；记录并对比2组患者围手术期穿刺时间、穿刺成功率、卧床时间、穿刺后压迫时间等一般资料、术后出血、动脉闭塞等并发症以及不良反应的发生率．结果 桡动脉穿刺组介入成功率为90.0%低于股动脉穿刺组97.5%，差异具有统计学意义（P＜0.05）；而桡动脉穿刺组患者穿刺时间、穿刺后压迫时间、平均卧床时间以及住院时间较股动脉穿刺组有明显缩短，2组比较差异具有统计学意义（P＜0.01）；术后并发症比较，桡动脉穿刺组患者出血、拔管迷走神经反射的发生率显著低于股动脉穿刺组，差异具有统计学意义（P＜0.05）；另外桡动脉穿刺组术后烦躁失眠、尿潴留、穿刺侧肢体疼痛、局部皮肤损伤、腰背酸痛等不良反应的发生率均显著低于股动脉穿刺组，差异具有统计学意义（P＜0.01）．结论 经桡动脉行冠脉介入术创伤小、患者卧床时间和住院时间短、并发症和不良反应发生率低，值得临床上推广应用． |
| 关键词: ［关键词］冠脉介入术 桡动脉穿刺 股动脉穿刺 并发症 不良反应 |
| DOI： |
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| 基金项目:［基金项目］安徽省临床重点专科建设项目（01T10） |
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| Comparison of Curative Effects and Complications of Coronary Intervention through Radial Artery and Femoral Artery |
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XIONG Shou-qing1,2
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1.（1）Dept. of Cardiology，The 2nd Affiliated Hospital of Bengbu Medical College，Bengbu Anhui 233000;2.２）Department of Cardiology，TongLing People’s Hospital，TongLing Anhui 244002，China）
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| Abstract: |
| ［Abstract］Objective To observe the clinical effects and complications of coronary intervention through radial artery and femoral artery．Methods A hundred and sixty patients received coronary intervention treatment or coronary angiogram in the Second Affiliated Hospital of Bengbu Medical College from March 2010 to March 2015 were enrolled in this study. The patients were divided into radial artery puncture group （n＝80），who received radial artery puncture and femoral artery puncture group （n＝80）who received femoral artery puncture. The general date such as puncture time， intervention success rate， time in bed， postpuncture compression time and complications such as postoperative bleeding， arterial occlusion and postoperative untoward reactions were recorded and compared. Results The intervention success rate of radial artery puncture group was 90.0% lower than that of femoral artery puncture group （97.5%），with statistically significant differences（P＜0.05）. The puncture time， postpuncture compression time，time in bed and hospital stays of radial artery puncture group were significantly shorter than those of femoral artery puncture group （P＜0.01）. As for complications， the incidences of postpuncture bleeding and vagus nerve reflex in radial artery puncture group were significantly lower than that in femoral artery puncture group（P＜0.05）. As for postoperative untoward reactions， the incidences of irritable and insomnia， uroschesis，pain caused by puncture，local skin injure， back pain in radial artery puncture group were significantly lower than those in femoral artery puncture group（P＜0.01）. Conclusion With the advantages of mini-invasion，such as shorter time in bed and hospital stays，lower complications and untoward reactions rates， coronary intervention through radial artery is worth of clinical application. |
| Key words: ［Key words］Coronary intervention Radial artery puncture Femoral artery puncture Complications Untoward reactions |