摘要
目的:探讨经桡动脉与经股动脉急诊介入手术对急性ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者的影响。方法:选取2019年1月-2020年12月电子科技大学医学院附属绵阳医院·绵阳市中心医院78例急性STEMI患者。按随机数表法将其分为对照组和观察组,每组39例。观察组给予经桡动脉急诊介入手术,对照组给予经股动脉急诊介入手术。比较两组手术效果、术前及术后1个月心功能指标、穿刺并发症及术后1年不良心血管事件。结果:观察组急诊介入手术成功率为94.87%,高于对照组的74.36%(P<0.05)。术后1个月,两组左室射血分数(left ventricular ejection fraction,LVEF)均升高,左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)及左室收缩末期内径(left ventricular end systolic diameter,LVESD)均降低(P<0.05),两组LVEF、LVEDD及LVESD比较差异均无统计学意义(P>0.05)。术后1个月,观察组穿刺并发症发生率低于对照组(P<0.05),术后1年,两组不良心血管事件发生率比较差异无统计学意义(P>0.05)。结论:经桡动脉或经股动脉急诊介入手术均可有效改善急性STEMI患者的心功能,尤其是经桡动脉急诊介入手术,还可明显提高手术成功率、减少穿刺并发症发生。
Objective:To investigate the effect of emergency interventional surgery via radial artery and femoral artery on patients with acute ST segment elevation myocardial infarction (STEMI).Method:From January 2019 to December 2020,78 patients with acute STEMI were selected from Mianyang Hospital Affiliated to School of Medicine,University of Electronic Science and Technology of China·Mianyang Central Hospital.According to the random number table method,they were divided into control group and observation group,with 39 cases in each group.The observation group was given emergency interventional surgery via radial artery,and the control group was given emergency interventional surgery via femoral artery.The surgical effects,before and 1 month after surgery cardiac function indexes,puncture complications and adverse cardiovascular events 1 year after surgery were compared between the two groups.Result:The success rate of emergency interventional surgery in the observation group was 94.87%,which was higher than 74.36% in the control group (P<0.05).One month after surgery,left ventricular ejection fraction (LVEF) in the two groups were increased,left ventricular end diastolic diameter (LVEDD) and left ventricular end systolic diameter (LVESD) were decreased in both groups (P<0.05),there were no significant differences in LVEF,LVEDD and LVESD between the two groups (P>0.05).One month after surgery,the incidence of puncture complications in the observation group was lower than that in the control group (P<0.05).One year after surgery,there was no significant difference in the incidence of adverse cardiovascular events between the two groups (P>0.05).Conclusion:Emergency interventional surgery via radial artery or femoral artery can effectively improve the cardiac function of patients with acute STEMI,especially emergency interventional surgery via radial artery,which can also significantly improve the success rate of surgery and reduce the occurence of puncture complications.
作者
王利昭
范丹丹
WANG Lizhao;FAN Dandan(Mianyang Hospital Affiliated to School of Medicine,University of Electronic Science and Technology of China·Mianyang Central Hospital,Mianyang 621000,China;不详)
出处
《中外医学研究》
2022年第25期134-137,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
急性ST段抬高型心肌梗死
经桡动脉
经股动脉
急诊介入手术
Acute ST segment elevation myocardial infarction
Via radial artery
Via femoral artery
Emergency interventional surgery
