刘子畅

【摘要】目的 探讨经桡动脉与股动脉行PCI术治疗高龄冠心病的临床效果及安全性。方法 选择2015年8月～2016年8月商丘市第一人民医院心内科收治的高龄冠心病患者50例作为研究对象，将所有患者随机分为观察组与对照组，各25例。对照组行股动脉PCT术治疗，观察组行桡动脉PCT术治疗，比较两组临床治疗效果与不良事件发生情况。结果 两组治疗总有效率相比，差异无统计学意义（P>0.05）；观察组不良事件发生率低于对照组，差异有统计学意义（P<0.05）。结论 经桡动脉与股动脉行PCI术治疗高龄冠心病临床疗效相当，但行桡动脉PCT术治疗不良事件发生率低于行股動脉PCT术治疗。

【关键词】高龄冠心病；桡动脉；股动脉；PCI术；安全性

【中图分类号】R541.4 【文献标识码】A 【文章编号】ISSN.2095-6681.2017.29..02

【Abstract】Objective To investigate the clinical effect and safety of transradial and femoral arterial PCI in the treatment of elderly patients with coronary heart disease.Methods Fifty elderly patients with coronary heart disease admitted from Department of Cardiology， First People's Hospital of Shangqiu City from August 2015 to August 2016 were selected as the study subjects. All patients were randomly divided into observation group and control group， with 25 cases in each group.In the control group， the femoral artery was treated with PCT， and the observation group was treated with radial artery PCT.The clinical effects and adverse events were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups （P>0.05）. The incidence of adverse events in the observation group was lower than that in the control group （P<0.05）.Conclusion The clinical effect of transradial and femoral artery PCI for the treatment of elderly patients with coronary heart disease is comparable， but the incidence of adverse events treated with radial artery PCT is lower than that of the femoral artery treated with PCT.

【Key words】Elderly coronary heart disease；Radial artery；Femoral artery；PCI

行PCI术治疗是目前临床应对冠心病患者的重要应用手段，桡动脉与股动脉则为最常见的入路选择，两种途径对于老年冠心病患者的治疗均有各自的优势与不足[1]。本研究旨在探讨经桡动脉与股动脉行PCI术治疗高龄冠心病临床效果及安全性。具体信息如下。

1 资料与方法

1.1 一般资料

选择2015年8月～2016年8月我院收治的高龄冠心病患者50例，将所有患者随机分为两组，每组各25例。观察组中男13例，女12例；年龄73-89岁，平均年龄（81.04±2.25）岁。对照组中男14例，女11例；年龄72～88岁，平均年龄（80.69±2.21）岁。两组患者一般资料相比，差异无统计学意义（P>0.05），具有可对比性。

1.2 方法

对照组行股动脉PCT术治疗，将股动脉搏动最强处定为穿刺位置，待穿刺成功后，置入7F动脉鞘管，并对患者实施左冠状动脉造影，同时根据冠状动脉病变与造影时操作情况选择适当导引钢丝、导引导管、支架及球囊，确定造影结果正常后进行拔鞘，并在局部按压20 min左右，若短暂松开后观察无出血现象，将穿刺处使用无菌纱布进行多层覆盖，最后使用绷带加压髋关节并呈“8”字形状包扎12～24 h。观……