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目的观察急性心肌梗死经桡动脉入路急诊行冠脉介入治疗的安全性和可行性。方法选择2007-01-2009-01葫芦岛市中心医院明确诊断为急性心肌梗死患者80例。随机分组,桡动脉介入组和股动脉介入组各为40例。观察两组手术成功率、介入时间及并发症。结果桡动脉组和股动脉组PCI成功率及介入治疗时间相似,差异无统计学意义(P>0.05);术后并发症发生率两组间比较差异有统计学意义(P<0.01)。结论经桡动脉入路行冠状动脉介入治疗急性心肌梗死是安全可行的。
Objective To investigate the safety and feasibility of percutaneous coronary intervention in acute myocardial infarction (AMI) via transradial approach. Method Selection 2007-01-2009-01 Huludao Central Hospital was diagnosed as acute myocardial infarction in 80 patients. Randomly divided group, radial artery intervention group and femoral artery intervention group were 40 cases each. The success rate of operation, intervention time and complications were observed. Results The success rate of PCI and interventional treatment in radial artery group and femoral artery group were similar, with no significant difference (P> 0.05). The incidence of postoperative complications was significantly different between the two groups (P <0.01). Conclusion Coronary artery interventional treatment of acute myocardial infarction via transradial approach is safe and feasible.