Objective:To investigate the application of percutaneous coronary intervention(PCI)via distal radial artery puncture in patients with coronary heart disease and renal insufficiency.Method:A total of 60 patients with coronary heart disease and renal insufficiency who were admitted to Pingxiang People's Hospital from July 2022 to June 2023 were selected,and divided into the control group and the observation group by random number table method,with 30 cases in each group.The control group underwent PCI via radial artery puncture,while the observation group underwent PCI via distal radial artery puncture.The success rates of one-time puncture and operation,clinical related indicators,numerical rating scale(NRS)score,length of hospital stay,and incidence of operation complications were compared between the two groups.Result:There were no statistically significant differences in the success rates of one-time puncture and operation between the two groups(P>0.05).Puncture time in the observation group was longer than that in the control group,and the time for postoperative hemostasis by compression was shorter than that in the control group,the differences were statistically significant(P<0.05);there was no statistically significant difference in operation time between the two groups(P>0.05).The NRS score of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the length of hospital stay between the two groups(P>0.05).The incidence of operation complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:PCI via distal radial artery puncture is effective in patients with coronary heart disease and renal insufficiency,can achieve relatively high success rates of one-time puncture and operation,significantly shortening the time for postoperative hemostasis by compression,effectively alleviate pain,and significantly reduce operation complications,with good safety.
维普
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