[1]胡文志,杨季明. 联合地尔硫和硝酸甘油防治桡动脉痉挛的有效性和安全性观察[J].介入放射学杂志,2014,(06):474-476.
 HU Wen- zhi,YANG Ji- ming.. Combination use of diltiazem and nitroglycerin in preventing radial artery spasm in performing coronary angiography: observation of its efficacy and safety[J].journal interventional radiology,2014,(06):474-476.
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 联合地尔硫和硝酸甘油防治桡动脉痉挛的有效性和安全性观察()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年06期
页码:
474-476
栏目:
血管介入
出版日期:
2014-07-05

文章信息/Info

Title:
 Combination use of diltiazem and nitroglycerin in preventing radial artery spasm in performing coronary angiography: observation of its efficacy and safety
作者:
 胡文志 杨季明
Author(s):
 HU Wen- zhi YANG Ji- ming.
 Department of Cardiology, Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210011, China
关键词:
 【关键词】 痉挛 桡动脉 地尔硫 硝酸甘油 冠状动脉造影
文献标志码:
A
摘要:
 【摘要】 目的 对比研究经桡动脉路径行冠状动脉造影时桡动脉应用硝酸甘油及联合地尔硫 和硝酸甘油防治桡动脉痉挛的有效性及安全性。方法 2012年12月—2013年6月对200例患者经绕动脉路径行冠状动脉造影。在成功置入动脉鞘管后在鞘管内分别注入硝酸甘油200 μg(硝酸甘油组,100例)或联合硝酸甘油200 μg和地尔硫 2 mg(联合药物组,100例),用心电血压监护仪记录患者注入药物前、注入后2、5、15和30 min的血压和心电情况,并观察桡动脉痉挛以及局部情况。结果 联合药物组5例发生桡动脉痉挛,低于硝酸甘油组的13例,组间差异有统计学意义(P < 0.05)。联合药物组和硝酸甘油组对心率和心电的影响差异无统计学意义(P > 0.05)。结论 经桡动脉介入治疗时,联合应用硝酸甘油和地尔硫 可以更有效防治桡动脉痉挛的发生, 且对心率、血压和心电无明显影响。

参考文献/References:

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[3] Kristic I, Lukenda J. Radial artery spasm during transradial coronary procedures[J]. J Invasive Cardiol, 2011, 23: 527 - 531.
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备注/Memo

备注/Memo:
 (收稿日期:2013-12-28)
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