经桡动脉入路急诊介入治疗急性心肌梗死临床观察

目的观察急性心肌梗死经桡动脉入路急诊行冠脉介入治疗的安全性和可行性。方法选择2007-01-2009-01葫芦岛市中心医院明确诊断为急性心肌梗死患者80例。随机分组,桡动脉介入组和股动脉介入组各为40例。观察两组手术成功率、介入时间及并发症。结果桡动脉组和股动脉组PCI成功率及介入治疗时间相似,差异无统计学意义（P〉0.05）;术后并发症发生率两组间比较差异有统计学意义（P〈0.01）。结论经桡动脉入路行冠状动脉介入治疗急性心肌梗死是安全可行的。

Clinical Observation of Emergent Interventional Therapy through Radial Artery Pathway in Acute Myocardial Infarction

Objective To observe the safety and feasibility of emergent interventional therapy through radial artery pathway in acute myocardial infarction.Methods 80patients diagnosed as acute myocardial infarction definitely in our hospital from 2007 01to 2009 01were divided randomly into radial artery intervention group and femoral artery intervention group（40cases in each group）.The success rate of operation、introducing time and complication in two groups were observed.Results The success rate of operation and introducing time in two groups were similar,and the differencd had no statistical significance（P〉0.05）.There was a statistical difference（P〈0.01）in the rate of postoperative complicationse between the two groups.Conclusion Interventional therapy through radial artery pathway in acute myocardial infarction is safety and feasibility.