摘要
目的比较经桡动脉途径行冠状动脉造影术(coronary angiography,CAG)和经皮冠状动脉支架植入术(coronary stent implantation,CSI)在糖尿病及非糖尿病患者中成功率、安全性等。方法对2005年12月至2007年6月共320例患者,分糖尿病及非糖尿病组,经桡动脉途径分别行CAG和(或)SCI术,比较在桡动脉穿剌成功率、并发症发生率、手术操作时间等方面的差异。结果糖尿病组及非糖尿病组在CAG时血管穿剌时间、穿剌成功率、严重桡动脉痉挛率、X线曝光时间、造影成功率方面均无显著性差异;而在CSI时,2组在X线曝光时间、支架植入成功率、钢丝支撑力不够发生率、需大号鞘管完成对吻技术发生率方面有显著性差异,但并发症发生率无差异。结论糖尿病及非糖尿病患者经桡动脉途径较安全,糖尿病组因病变较复杂,支架成功率相对较低。
Objective To evaluate the clinical applieaton of transradial approach for coronary angiography and coronary stent implantation on Diabetic Patients and Non - diabetic Patients. Methods 320 Diabetic patients and non - diabetic patients were taken CAG （R group, n = 294） or CSI （F group, n = 288） , the success rates of arterial puncture , the rate of complications, the time of operation were compared. Results There were no remarkable differences in the time of arterial puncture , the successful rate of radial artery puncture, X - ray irradiation time , the rate of serious radial artery spasm in the CAG group （ P 〉 0. 05 ） . While in the CSI group , X - ray irradiation time , the successful rate of puncture, the rate of insufficient steel - wire supporting power, the incidence rate of large size sheathing canal for kissing crash all were significant difference. But the complications had no difference. Conclusions The radial artery approach for coronary angiography and coronary stent implantation are safe and feasible for diabetic patients and non - diabetic patients. But in diabetic patients, because the coronary diseases are complicated, the successful rate of stent implantation is lower .
出处
《浙江临床医学》
2008年第6期742-743,共2页
Zhejiang Clinical Medical Journal
关键词
桡动脉
冠状动脉造影
支架
Radial artery
Coronary angiography
Stent
