老年冠心病患者经桡动脉与股动脉途径介入治疗的对比研究

目的评价老年冠心病患者经桡动脉穿刺介入治疗的安全性及可行性。方法选择2005年9月～2007年2月70岁以上老年冠心病患者196例行冠状动脉介入治疗，按穿刺途径随机分为桡动脉组（n=94）和股动脉组(n=102)，比较两组手术成功率、穿刺部位并发症发生率、术后患者不适反应发生率及X线曝光时间，并进行统计学处理。结果两组手术成功率、X线曝光时间差异无统计学意义(P＞0.05)，桡动脉组穿刺部位并发症及术后患者不适反应发生率低于股动脉组（P＜0.05）。结论老年冠心病患者经桡动脉途径行冠脉介入治疗是安全可行的。与股动脉途径相比，经桡动脉途径能减少血管并发症的发生，相对增加患者的舒适度。

Radial versus femoral approach for percutaneous coronary interventional procedures in the aged

Objective To explore the security and feasibility of percutaneous transradial artery approach for percutaneous coronary interventions in the aged.Methods 196 patients over 70 years old with coronary artery diseases were subjected to coronary intervention treatment through radial(n=94) and femoral arteries(n=102) between September,2005 and February,2007.The success rate of operation,incidence rate of entry site complications,rate of discomfort occurrence and X-ray exposure time were compared between the two groups.Results There were no differences in the success rate of operation and X-ray exposure time(P>0.05),while the incidence rate of entry site complications and rate of discomfort occurrence in the radial artery group were lower than those in the femoral artery group(P<0.05).Conclusion Percutaneous transradial artery approach is secure and feasible for coronary intervention treatment in the aged and has few vascular complications.