Objective To analyze the value of handgrip strength(HGS)in predicting the successful puncture via distal transradial access(dTRA).Methods According to the puncture result of dTRA,304 patients with coronary heart disease underwent coronary angiography and/or percutaneous coronary intervention were divided into two groups of A(successful puncture,135 cases)and B(unsuccessful puncture,169 cases).The basic clinical data of the two groups were recorded,and HGS was tested 24 hours before operation.The influencing factors for successful puncture via dTRA were analyzed by multivariate logistic regression.The predictive value of HGS in predicting the successful puncture was analyzed by ROC curve.Results Compared with group B,the proportions of the patients with atrial fibrillation and diabetes mellitus were lower,while HGS was stronger in group A(P＜0.05 or P＜0.01).The multivariate logistic regression showed that stronger HGS was the independent protective factor for successful puncture via dTRA(P＜0.01).The AUC value of HGS in the prediction of successful puncture was 0.754[95％CI(0.699-0.808),P＜0.01].Taking 37.5 kg as the cut-off value of HGS,the predictive sensitivity and specificity were 67.4％and 74.6％,respectively.Conclusion The patients with successful puncture via dTRA have stronger HGS.HGS has a certain predictive value for the successful puncture via dTRA.
NETL
NSTL
万方数据
