| 老年冠心病经桡动脉与股动脉途径介入治疗的对比研究 |
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| 引用本文： | 黄伟光,吴同果,韦建瑞,罗景云,赵强,崔进,郭晓碧.老年冠心病经桡动脉与股动脉途径介入治疗的对比研究[J].国际医药卫生导报,2009,15(20):17-20. |
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| 作者姓名： | 黄伟光 吴同果 韦建瑞 罗景云 赵强 崔进 郭晓碧 |
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| 作者单位： | 暨南大学第四附属医院(广州市红十字会医院心内科),广州,510220 |
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| 摘 要： | 目的评价老年冠心病经桡动脉穿刺介入治疗的安全性及疗效。方法选择2007年3月一2009年5月60岁以上老年冠心病患者314例行冠状动脉介入治疗，按穿刺途径随机分成桡动脉组（n=157）和股动脉组（n=157），观察两组间手术成功率、动脉穿刺时间、手术操作时间、X线曝光时间、外周血管并发症和术后肺栓塞发生情况。结果经桡动脉穿刺途径成功共149例，经股动脉穿刺途径成功共152例。两组间手术成功率、X线曝光时间、手术时间等比较，差异无显著性（P〉0．05）。动脉穿刺时间桡动脉组明显多于股动脉组（P〈0．05），外周血管并发症桡动脉组明显少于股动脉组（P〈0．05），在股动脉组术后肺栓塞发生2例，而桡动脉组0例。总介入治疗手术成功率为98．1％（308／314）。结论只要规范化操作，老年冠心病经桡动脉穿刺介入治疗方法安全、有效且可行，术后外周血管并发症发生少。
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| 关 键 词： | 老年人 桡动脉 股动脉 血管成形术 经腔 经皮冠状动脉 |
Radial versus femoral approach for percutaneous coronary interventional procedures in the aged |
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| HUANG Wei-guang,Wu Tong-guo,WEI Jian-rui,et al..Radial versus femoral approach for percutaneous coronary interventional procedures in the aged[J].International Medicine & Health Guidance News,2009,15(20):17-20. |
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| Authors: | HUANG Wei-guang Wu Tong-guo WEI Jian-rui |
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| Institution: | HUANG Wei-guang,Wu Tong-guo,WEI Jian-rui,et al.Department of cardiology,Guangzhou Red Cross hospital,Guangzhou 510220,China |
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| Abstract: | Objective To evaluate the safety and effect of transradial artery approach for coronary intervention in the aged.Methods There were 314 cases which were more than 60 years old with coronary artery disease in hospital from Mar 2007 to May 2009,who accepted coronary intervention.They were randomly divided into Transradial group(TRA,n=157) and Transfemoral group(TRF,n=157).The success rate and time of puncture,x-ray exposure time,procedure duration,complication in puncture site and pulmonary embolism were obse... |
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| Keywords: | Aged Radial artery Femoral artery Angioplasty transluminal pereutaneons coronary |
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