摘要
目的比较经桡动脉和经股动脉经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)治疗老年急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)的临床效果。方法选取2016年7月至2017年10月于本院住院的88例行择期PCI的老年急性STEMI患者为研究对象,采用随机数表法将其分为桡动脉组和股动脉组,每组各44例。桡动脉组患者采用经桡动脉PCI,股动脉组采用经股动脉PCI,术后随访7个月,比较两组患者术后并发症发生情况、手术相关指标、简易精神状态检查(mini-mental state examination,MMSE)量表评分及预后。结果桡动脉组患者术后并发症发生率显著低于股动脉组(P<0.05),术后意识恢复时间及卧床时间均显著短于股动脉组(P_均<0.05)。桡动脉组患者术后6个月以上MMSE量表评分均显著高于股动脉组及本组术后意识清晰次日(P_均<0.05)。两组患者预后情况比较差异无显著性(P>0.05)。结论与经股动脉PCI相比,经桡动脉PCI可显著降低老年急性STEMI患者术后并发症发生率,缩短术后意识恢复时间及卧床时间,有助于提高患者术后的认知功能,但两种手术入路方式对患者预后影响无显著差异。
Objective To investigate the clinical effects of transradial and transfemoral percutaneous coronary intervention(PCI)in the treatment of elderly patients with acute ST-segment elevation myocardial infarction(STEMI).Method 88 elderly patients with acute STEMI admitted to our hospital from July 2016 to October 2017 were selected as the main observation subjects,they were randomly divided into radial artery group and femoral artery group,each group had 44 cases.Radial artery group patients were treated with PCI via radial artery and femoral artery group patients were treated with PCI via femoral artery.All patients were followed up for 7 months.Postoperative complications,surgery-related indicators,mini-mental state examination(MMSE)scores and prognosis were compared between the two groups.Result The incidence of complications in radial artery group was significantly lower than that in femoral artery group(P<0.05).The postoperative consciousness recovery and bed-rest time in radial artery group were significantly lower than those in femoral artery group(Pall<0.05).The MMSE scores of patients in radial artery group more than 6 months after operation were significantly higher than those in femoral artery group and the next day after the clear sense(P<0.05).There was no significant difference in the prognosis between the two groups(P>0.05).Conclusion Compared with PCI via femoral artery,PCI via radial artery can reduce the incidence of complications,shorten the time of consciousness recovery and bed-rest time,and improve the cognitive function of elderly patients with acute STEMI.But there is no difference in prognosis between the two ways.
作者
任洁
余航
李晶瑾
胡经文
李跳跳
杨倩
牟建军
REN Jie;YU Hang;LI Jing-jin;HU Jing-wen;LI Tiao-tiao;YANG Qian;MU Jian-jun(Department of Cardiovascular Medicine,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)
出处
《中国医学前沿杂志（电子版）》
2018年第10期49-52,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
