中国当代医药2025，Vol.32Issue(22)：44-48,5.DOI:10.3969/j.issn.1674-4721.2025.22.09
远端桡动脉入径在冠心病患者经皮冠状动脉介入术中的应用效果
Application effect of distal radial artery access in percutaneous coronary intervention in patients with coronary heart disease
摘要
Abstract
Objective To explore the clinical efficacy of distal radial artery(DRA)access in percutaneous coronary inter-vention(PCI)for patients with coronary heart disease(CHD).Methods A total of 100 CHD patients admitted to the First Af-filiated Hospital of Guangxi University of Science from January 2019 to June 2021 were selected as the study subjects,and they were divided into the study group(50 cases)and the control group(50 cases)according to the difference of puncture paths.The study group was treated with PCI via DRA,the control group was treated with PCI via proximal radial artery access.The two groups were compared in terms of puncture success rate,mean puncture time,postoperative compression time,total incidence of local complications,in-hospital major adverse cardiovascular events(MACE),and the incidence of MACE at 30 d postoperatively.Results The mean puncture time in the study group was longer than that in the control group,and the difference was statistically significant(P＜0.05).The duration of postoperative local compression was shorter in the study group than in the control group,and the difference was statistically significant(P＜0.05).The total incidence of post-operative local complications in the study group was lower than in the control group,and the difference was statistically significant(P＜0.05).The incidence of MACE in-hospital and 30 d postoperatively was compared between the two groups,and the differences were not statistically significant(P＞0.05).Conclusion DRA access can significantly reduce the inci-dence of local complications at the puncture site after PCI in CHD patients without increasing the incidence of MACE.关键词
远端桡动脉入径/冠心病/经皮冠状动脉介入治疗/主要不良心血管事件Key words
Distal radial artery access/Coronary heart disease/Percutaneous coronary intervention/Major adverse cardio-vascular events分类
医药卫生引用本文复制引用
吴西林,张施明..远端桡动脉入径在冠心病患者经皮冠状动脉介入术中的应用效果[J].中国当代医药,2025,32(22):44-48,5.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20201056) （Z20201056）
广西壮族自治区医疗卫生适宜技术开发与推广应用项目(S2020007). （S2020007）
