王晓群　李绪洪

【摘要】 目的 对比分析经桡与股动脉介入治疗冠心病合并慢性左心衰竭的临床效果。方法 100例冠心病合并慢性左心衰竭患者， 随机分为观察组和对照组， 每组50例。对照组采取经股动脉介入治疗方案， 观察组采取经桡动脉介入治疗方案。观察两组患者手术指标及并发症发生率。结果 观察组手术成功率为96.0%， 显著高于对照组的78.0%（P<0.05）。两组手术时间比较差异无统计学意义（P>0.05）。观察组卧床时间（12.91±2.65）h， 短于对照组的（20.34±3.77）h（P<0.05）。观察组并发症发生率为4.0%， 明显低于对照组的22.0%（P<0.05）。结论 经桡动脉介入治疗冠心病伴慢性左心衰竭患者的效果较经股动脉介入治疗方案更佳， 且较少并发症发生， 值得临床推广应用。

【关键词】 冠心病；慢性左心衰竭；经桡动脉；介入治疗

DOI：10.14163/j.cnki.11-5547/r.2016.07.008

Comparison of clinical effect by transradial artery and transfemoral artery interventional therapy in the treatment of coronary heart disease complicated with chronic left heart failure WANG Xiao-qun， LI Xu-hong. Second Ward of Department of Cardiovascular Medicine， Puning City Peoples Hospital， Puning 515300， China

【Abstract】 Objective To compare and analyze clinical effect by transradial artery and transfemoral artery interventional therapy in the treatment of coronary heart disease complicated with chronic left heart failure. Methods A total of 100 patients of coronary heart disease complicated with chronic left heart failure were randomly divided into observation group and control group， with 50 cases in each group. The control group received transfemoral artery interventional therapy， and the observation group received transradial artery interventional therapy. Operation indexes and incidences of complications were observed in the two groups. Results The observation group had obviously higher operation success rate as 96.0% than 78.0% of the control group （P<0.05）. There was no statistically significant difference of operation time between the two groups （P>0.05）. The observation group had shorter bed rest time as （12.91±2.65） h than （20.34±3.77） h of the control group （P<0.05）. The observation group also had much lower incidence of complications as 4.0% than 22.0% of the control group （P<0.05）. Conclusion Transradial artery interventional therapy provides better effect and low incidence of complications than transfemoral artery interventional therapy in the treatment of coronary heart disease complicated with chronic left heart failure. This method is worthy of clinical promotion and application.

【Key words】 Coronary heart disease； Chronic left heart failure； Transradial artery； Interventional therapy

在中老年群体心血管疾病中， 冠心病属于一种常见多发病症， 属冠状动脉狭窄导致供血不足， 最终引发心脏器质性病变或心肌功能障碍[1]。由于冠心病患者容易合并慢性心力衰竭， 导致心功能减退， 其生活质量也受到严重影响， 因此临床应结合高龄人群特点， 选择一种合理、高效的治疗方案。本文对比经桡与股动脉介入治疗冠心病合并慢性左心衰竭的临床效果。现报告如下。

1 资料与方法

1. 1 一般资料 选取本院2014年3月～2015年3月收治的100例冠心病合并慢性左心衰竭患者纳入本次研究， 入组患者病情均符合世界卫生组织冠心病临床诊断标准[2]， Allen实验结果提示为阳性。随机分为对照组与观察组， 各50例。对照组男29例， 女21例；年龄61～83岁， 平均年龄（68.8±5.3）岁。观察组男28例， 女22例；年龄60～82岁， 平均年龄（69.5±5.4）岁。两组患者年龄、性别等一般资料比较差异无统计学意义（P>0.05）， 具有可比性。

1. 2 治疗方法 观察组术前接受常规局部麻醉， 局部麻醉药物为2%利多卡因， 合理选择穿刺点……