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目的探究经股动脉与经桡动脉两种途径行冠心病介入治疗的临床效果。方法 76例冠心病患者,随机分为对照组和研究组,每组38例。对照组患者给予经股动脉(TFA)冠状动脉介入方法进行治疗,研究组患者给予经桡动脉(TRA)冠状动脉介入方法进行治疗,比较两组患者的临床治疗效果。结果研究组手术成功率为94.74%,高于对照组的78.95%,差异有统计学意义(P<0.05);研究组平均穿刺时间为(4.9±1.3)min,明显短于对照组的(10.7±1.7)min,差异有统计学意义(P<0.05);研究组平均手术时间为(34.5±4.7)min,明显短于对照组的(55.9±4.3)min,差异有统计学意义(P<0.05);研究组平均造影剂量为(139.5±24.5)ml,明显少于对照组的(170.5±22.3)ml,差异有统计学意义(P<0.05)。研究组不良反应发生率为7.89%,明显低于对照组的26.32%,差异有统计学意义(P<0.05)。结论对冠心病患者采取经桡动脉行冠状动脉介入治疗效果显著,安全性高,值得在临床上推广应用。
Objective To investigate the clinical effect of interventional therapy of coronary heart disease by both femoral artery and transradial approach. Methods 76 patients with coronary heart disease were randomly divided into control group and study group, 38 cases in each group. Patients in the control group were given transcatheter arterial (TFA) coronary intervention. Patients in the study group were given transradial (TRA) coronary intervention. The clinical effects of the two groups were compared. Results The success rate of operation in study group was 94.74%, which was higher than that in control group (78.95%), the difference was statistically significant (P <0.05). The mean puncture time in study group was (4.9 ± 1.3) min, which was significantly shorter than that in control group ± 1.7) min, the difference was statistically significant (P <0.05). The average operation time in the study group was (34.5 ± 4.7) min, which was significantly shorter than that in the control group (55.9 ± 4.3) min, the difference was statistically significant (P < 0.05). The mean contrast dose in the study group was (139.5 ± 24.5) ml, which was significantly lower than that in the control group (170.5 ± 22.3) ml, the difference was statistically significant (P <0.05). The incidence of adverse reactions in the study group was 7.89%, which was significantly lower than that in the control group (26.32%), the difference was statistically significant (P <0.05). Conclusion Coronary heart disease patients undergoing coronary artery intervention via transradialization have significant effect and high safety, which is worth popularizing in clinic.