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1、经梯动脉途径和股动脉途径行老年冠心病介入治疗的对照研究［摘要］目的：探讨经挠动脉途径和股动脉途径行老年冠心病介入治疗的疗效。方法:将我科2008年10月~2010年6月收治的90例需行冠状动脉介入治疗的老年冠心病患者，按穿刺途径分为梯动脉组和股动脉组，每组45例，比较两组患者的穿刺时问、手术操作时问、手术成功率、术后并发症、不适反应、X线曝光时间及住院时间。结果：楼动脉组与股动脉组手术操作时间、手术成功率、X线曝光时间方血比较，差异无统计学意义(P〉0.05)。挠动脉组术示血管并发症、不适反应及住院时间方面显著少于股动脉纟R,穿刺时间长于股动脉组,差异有统计学意义(P〈0.01或PC0
2、.05)。结论：经梯动脉途径和股动脉途径都是治疗老年冠心病的良好方法，经梯动脉术后并发症及不适反应少，且住院时间短，相对增加患者的舒适度，值得临床推广应用。［关键词］梯动脉；股动脉；老年冠心病；介入治疗［中图分类号］R541.4［文献标识码］A［文章编号］1673-7210(2011)11(c)-043-02CoronaryinterventiormltherapyfortheelderlypatientswithcoronaryheartdiseasethroughtransradialandtransfemoralpercutaneonsYANGYi,LUXiuhong,LIUWe
3、i,QinRuzi,HEJing,YANGYu,HUChuan,ZHANGGuiDepartmentofGerontology,GuangdongProvincialArmedForcesHospital,GuangdongProvince,Guangzhou510507,China［Abstract］Objective:Toassesstheeffectivenessandsafetyoftransradialandtransfemoralpercutaneouscoronaryinterventionaltherapyfortheelderlypatientswithcoronar
4、yheartdisease.Methods:FromOctober2008toJune2010,90elderlypatientswithcoronaryheartdiseasewhoshoulddocoronaryintervention,wererandomlydividedintoradialarterygroupandfemoralarterygroupaccordingtopunctureapproaches,eachgrouphad45cases.Puncturetime,operationtime,surgicalsuccessrate,thepostoperativec
5、omplications,discomfortreaction,X-rayexposuretimeandlengthofhospitalizationofthetwogroupswerecompared・Results:Therewasnosignifiedntdifferenceofoperationtime,surgicalsuccessrateandX-rayexposuretimebetweenthetwogroups(P>0.05),therateoftotalvascularcomplications,discomfortreactionandhospitalization
6、timeoftheradialarterygroupwerelessthanthoseoffemoralarterygroup(P〈0.01),puncturetimewaslongerthanthatoffemoralarterygroup(P<0・05).Conclusion:Intheelderlypatientswithcoronaryheartdisease,transradialcoronaryangoplastyhasthesamesuccessrate,butlesspostoperativecomplicationsanddiscomfortreactionandsh
7、orterhospitaiizationtimecomparedwithtransfemoralapproach.Transradialapproachisasafeandfeasiblemethod・［Keywords］Radialartery;Femoralartery;Elderlycoronaryheartdisease;Interventionaltreatment冠状动脉粥样硬化性心脏病（简称冠心病）是慢性充血性心力衰竭的常见原因么
