老年冠心病患者经桡动脉穿刺行PCI术的疗效及安全性观察

目的 探讨老年冠心病患者经桡动脉穿刺行PCI术的疗效及安全性。方法 入选对象为2010年11月~2013年11月入住我院的90例老年冠心病患者,将所有患者分为对照组与观察组,分别采用经股动脉与经桡动脉穿刺行PCI术。比较两组临床治疗疗效、ECG疗效、冠心病心绞痛发病频率与心绞痛发作时间及不良反应发生率。结果 对照组临床总有效率为75.56%,显著低于观察组（93.33%）,差异有统计学意义（P〈0.05）;对照组ECG总有效率为73.33%,显著低于观察组（88.89%）,差异有统计学意义（P〈0.05）;两组治疗后心绞痛发病频率与心绞痛发作时间均较治疗前显著降低,且观察组下降幅度显著大于对照组,差异有统计学意义（P〈0.05）;两组不良反应发生率比较差异无统计学意义（20.00%vs 15.56%,P〉0.05）。结论 与经股动脉穿刺行PCI术相比,老年冠心病患者经桡动脉穿刺行PCI术安全性较好,疗效确切。

Analysis of safety and feasibility of radial artery puncture line PCI surgery in elderly patients

Objective To investigate the safety and effect of transradial approach for PCI operation for elderly patients with coronary heart disease. Methods Selected 90 elderly patients with coronary heart disease from November 2010 to November 2013 in our hospital,all patients with coronary heart disease were randomly divided into control group and observation group, respectively by transfemoral artery and transradial approach for PCI operation. The clinical curative effect, ECG effect,angina pectoris of coronary heart disease and angina pectoris disease frequency in time,and the incidence of adverse reactio were compared between two groups. Results The total clinical effective rate of control group was 75.56% ,was significantly lower than the observation group （93.33%）,the difference was significant （P〈0.05）; The total effective rate of ECG of control group was 73.33% ,was significantly lower than the observation group （88.89%）,the difference was significant （P〈0.05）; The two groups after treatment for angina pectoris of angina frequency and time decreased significantly at the end of treatment the observation group,and decreased significantly than that of control group, the difference was significant（P〈0.05）; The incidence of adverse reaction of control group was 20.00%,the incidence of adverse reaction of observation group was 15.56% ,there was no significant difference（P〉0.05）. Conclusion Compared with femoral artery puncture in elderly patients with coronary heart disease underwent PCI, transradial approach for PCI and high safety, efficacy is good.