吉林医学2024,Vol.45Issue(11) :2628-2631.DOI:10.3969/j.issn.1004-0412.2024.11.007

经远端桡动脉冠脉介入对糖尿病患者桡动脉血流动力学及支架管径的影响研究

Study on the Effect of Coronary Intervention via Distal Radial Artery on Radial Artery Hemodynamics and Stent Diameter in Diabetic Patients

彭仁聪 伍崇信 林日琦 潘华生 黄流强
吉林医学2024,Vol.45Issue(11) :2628-2631.DOI:10.3969/j.issn.1004-0412.2024.11.007

经远端桡动脉冠脉介入对糖尿病患者桡动脉血流动力学及支架管径的影响研究

Study on the Effect of Coronary Intervention via Distal Radial Artery on Radial Artery Hemodynamics and Stent Diameter in Diabetic Patients

彭仁聪 1伍崇信 1林日琦 1潘华生 1黄流强1
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作者信息

  • 1. 广西医科大学附属武鸣医院心血管内科,广西 南宁 530199
  • 折叠

摘要

目的:探讨经远端桡动脉入路冠脉介入对糖尿病患者桡动脉血流动力学及支架管径的影响.方法:选取 2022年 1 月~2023 年 10 月广西医科大学附属武鸣医院行冠脉介入的糖尿病患者 92 例作为研究对象.根据术前桡动脉及远端桡动脉超声结果,采取数字分配法将患者分为试验组和对照组.试验组采用远端桡动脉穿刺方法,对照组采用常规桡动脉穿刺方法.观察两组手术前后 48 h的穿刺动脉内径、血液流速、支架直径以及术后并发症情况.结果:试验组术前及术后 48 h桡动脉的内径变化比较(2.86±0.25 mm,2.82±0.26 mm),差异有统计学意义(P<0.01);试验组术前桡动脉血液流速与术后比较(42.43±1.57,42.13±1.77),差异无统计学意义(P>0.05);试验组及对照组术中使用的支架管径[(3.25±0.48)mm,(3.17±0.44)mm],差异无统计学意义(P>0.05);试验组患者未发现明显并发症.结论:远端桡动脉路径在糖尿病患者的冠脉介入诊疗中对桡动脉的血流动力学及支架管径无明显影响.

Abstract

Objective To investigate the effects of radial artery intervention via the distal radial artery on radial artery hemodynam-ics and stent diameter in diabetic patients.Method 92 cases of diabetic patients who underwent coronary intervention in the Depart-ment of Cardiology at Wuming Hospital affiliated with Guangxi Medical University from January 2022 to October 2023 were selected as the subjects of the study.According to the preoperative ultrasound results of the radial artery and distal radial artery,the patients were divided into experimental and control groups using digital allocation method.The experimental group adopted the method of puncture through the distal radial artery,and the control group adopted the conventional method of radial artery puncture.The changes in arterial inner diameter,blood flow velocity,and stent diameter of the punctured artery before and after surgery within 48 hours were observed in both groups.In addition,the postoperative complications were also observed.Results There was a significant difference in the change of radial artery inner diameter within 48 hours after surgery in the experimental group(2.86±0.25 mm vs.2.82±0.26 mm,P<0.01).However,there was no significant difference in blood flow velocity within 48 hours after surgery between the experimental group and the control group(42.43±1.57 vs.42.13±1.77,P>0.05).There was also no significant difference in the diameter of stents used in the two groups during the operation(3.25±0.48mm vs.3.17±0.44 mm,P>0.05).No obvious complications were found in the ex-perimental group.Conclusion The distal radial artery pathway has no significant effect on hemodynamic parameters and stent diameter in coronary intervention for diabetic patients.

关键词

远端桡动脉/冠脉介入/糖尿病/桡动脉血流速度

Key words

Distal radial artery/Coronary intervention/Diabetes/Radial artery blood flow velocity

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基金项目

广西卫健委自筹经费科研课题(Z-A20220760)

出版年

2024
吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
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