经桡动脉冠脉介入治疗术后严重出血并发症的危险因素分析

目的 探讨经桡动脉冠状动脉介入治疗术后发生严重出血并发症的危险因素.方法 回顾性分析2011年12月至2013年12月廊坊市第四人民医院心内科收治的经桡动脉冠状动脉介入术后的患者669例,把其中26例严重出血患者设为出血组,随机抽取30例无严重出血患者为未出血组.使用Logistic回归分析发现与严重出血并发症相关的危险因素.结果 与未出血组比较,出血组患者高龄、男性、2型糖尿病、长期吸烟史、急诊PCI、动脉路径迂曲是严重出血发生的独立危险因素.结论 高龄、男性、2型糖尿病、长期吸烟史、急诊PCI、动脉路径迂曲可以作为预测PCI术后严重出血的危险因素.

Risk factors for major bleeding after percutaneous coronary intervention via radial artery

Objective To identify risk factors for major bleeding after percutaneous coronary intervention （PCI） via radial artery. Methods 26 patients with major bleeding（group A ） and 30 patients without major bleeding （group B ） out of 669 percutaneous coronary intervention （PCI） patients were analyzed retrospectively. Factors associated with major bleeding were identified using logistic regression analysis. Results Older, men, type 2 diabetes, long time smoking and artery tortuosity were the risks for major bleeding（P〈0.01 ）. Conclusion In patients after PCI, older, men, type 2 diabetes, long time smoking and artery tortuosity are the risks for major bleeding.