首页|经鼻烟壶桡动脉冠脉经皮冠状动脉介入治疗术的临床研究

经鼻烟壶桡动脉冠脉经皮冠状动脉介入治疗术的临床研究

扫码查看
目的 研究经鼻烟壶桡动脉冠脉经皮冠状动脉介入治疗术(percutaneous coronary intervention,PCI)的临床效果.方法 非随机选取2022年8月—2024年3月安顺市平坝区人民医院收治的行PCI治疗的冠状动脉粥样硬化性心脏病患者146例,根据手术方式分为观察组、对照Ⅰ组、对照Ⅱ组.行经鼻烟壶桡动脉穿刺为观察组(n=36),常规桡动脉穿刺为对照Ⅰ组(n=61),股动脉穿刺为对照Ⅱ组(n=49).对比3组患者的临床指标、术后感受、并发症发生率.结果 观察组的手术时间、压迫止血时间、住院时间均低于对照Ⅰ组与对照Ⅱ组,差异有统计学意义(P均<0.05).观察组舒适状况量表评分为(89.14±9.48)分,低于对照Ⅰ组的(58.42±8.19)分与对照Ⅱ组的(71.42±10.08)分,差异有统计学意义(F=8.541,P<0.05).3组并发症发生率比较,差异无统计学意义(P>0.05).结论 鼻烟壶桡动脉冠脉PCI术可以显著减少手术时长,提高患者术后体验感,缩短患者住院时间.
Clinical Study of Radial Artery Coronary PCI Via Snuff Bottle
Objective To study the clinical outcome of percutaneous coronary intervention(PCI)via snuffer radial ar-tery coronary artery.Methods One hundred and forty-six patients with coronary atherosclerotic heart disease treated with PCI admitted to Pingba District People's Hospital of Anshun City from August 2022 to March 2024 were non-randomly selected and divided into the observation group,the control Ⅰ group,and the control Ⅱ group according to the surgical methods.Transnasal radial artery puncture was performed in the observation group(n=36),conventional radial artery puncture in the control Ⅰ group(n=61),and femoral artery puncture in the control Ⅱ group(n=49).The clinical indexes,postoperative feelings,and complication rates of the three groups were compared.Results The opera-tion time,compression hemostasis time,and hospitalization time of the observation group were lower than those of the control Ⅰ group and the control Ⅱ group,and the differences were statistically significant(all P<0.05).The General Comfort Questionnaire score of the observation group was 89.14±9.48,which was lower than 58.42±8.19 of the control group Ⅰ and 71.42±10.08 of the control group Ⅱ,and the difference was statistically significant(F=8.541,P<0.05).There was no statistically significant difference between the complication rates of the 3 groups(P>0.05).Conclusion Snuffer radial artery coronary PCI significantly reduces procedure duration,improves the postoperative patient experi-ence,and shortens the patient's hospital stay.

Coronary heart diseasePCI surgerySnuff pot radial arteryClinical effect

朱张国

展开 >

安顺市平坝区人民医院心内科,贵州 安顺 361000

冠状动脉粥样硬化性心脏病 经皮冠状动脉介入治疗 鼻烟壶桡动脉 临床效果

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(15)