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目的探讨经股动脉与经桡动脉介入治疗高龄冠心病的临床疗效。方法高龄冠心病患者172例,随机分成桡动脉组和股动脉组,各86例,股动脉组经股动脉进行穿刺治疗,桡动脉组经桡动脉进行穿刺治疗,比较两组术中情况、术后疗效及并发症。结果桡动脉组患者在更改介入治疗途径的比例与股动脉组比较差异有统计学意义(P<0.05),但其他差异均无统计学意义(P>0.05)。结论经股动脉与经桡动脉两种介入术治疗高龄冠心病均有较好的临床效果,但经桡动脉介入在更改介入途径的方面比例较高,所以临床医生需要根据患者的具体情况选择介入途径。
Objective To investigate the clinical effects of trans-arterial and transradial interventional therapy for elderly patients with coronary heart disease. Methods 172 cases of elderly patients with coronary heart disease were randomly divided into radial artery group and femoral artery group, 86 cases each. The femoral artery was punctured by the femoral artery and the radial artery was punctured by the radial artery. The intraoperative results were compared between the two groups After treatment and complications. Results There was a significant difference in the proportion of interventional treatment in the radial artery group compared with the femoral artery group (P <0.05), but no significant difference was found in other groups (P> 0.05). Conclusion Both the femoral artery and transradial interventional treatment of elderly patients with coronary heart disease have a good clinical effect, but the transradial intervention in the intervention of a higher proportion of interventional pathway, so clinicians need to choose according to the specific circumstances of patients way.