经不同路径行冠脉介入术患者舒适度及术后并发症的比较

目的 比较经股动脉和桡动脉路径行冠脉介入术患者舒适度及术后并发症的发生情况.方法 选择经股动脉、桡动脉冠脉介入术的住院患者198例,分为对照组（经股动脉路径冠脉介入）100例和实验组（经桡动脉路径冠脉介入）98例,对两组患者术后穿刺部位血肿及腰背酸痛、失眠、排尿困难等进行观察比较.结果 实验组术后失眠与中、重度腰背酸痛的发生率低于对照组,两组各项比较差异均有统计学意义（x2值分别为16.46,13.9,11.95,P＜0.01）;两组术后穿刺部位血肿与排尿困难比较差异有统计学意义（x2值分别为4.26,5.92,P＜0.05）.结论 经桡动脉冠脉介入术术后血管穿刺部位并发症发生率低,患者的舒适度明显改善.

Comparison of comfort level and postoperative complications of patients undergone coronary intervention through different arteries

Objective To compare comfort level and postoperative complication of patients undergone coronary intervention through femoral artery and radial artery. Methods A total of 198 patients were selected and divided into two groups: control group (n = 100) accepted coronary intervention through femoral artery and experimental group ( n = 98 ) through radial artery. Local hematoma at the puncture site, back pain, insomnia and dysuresia were observed and compared between the two groups. Results The incidence of insomnia and back pain were significantly lower in experimental group ( P ＜ 0. 01 ) than in control group. There was also significant difference in local hematoma at the puncture site and dysuresia between the two groups ( P ＜ 0. 05 ).Conclusions Low incidence of complications and high comfort level can be expected in patients undergone coronary intervention through radial arteries.