[1]钟继明,李 浪,陆永光,等.经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素[J].介入放射学杂志,2011,(04):265.
　ZHONG Ji-ming,LI Lang,LU Yong-guang,et al.Radial artery spasm occurred in transradial coronary intervention for coronary heart disease its occurrence and predictors[J].journal interventional radiology,2011,(04):265.
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经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素()

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

卷:
期数:
2011年04期
页码:
265
栏目:
心脏介入
出版日期:
2011-04-30

文章信息/Info

Title:
Radial artery spasm occurred in transradial coronary intervention for coronary heart disease its occurrence and predictors
作者:
钟继明;  李 浪;  陆永光;  曾书燚
530021  南宁 广西医科大学第一附属医院心内科
Author(s):
ZHONG Ji-ming;  LI Lang;  LU Yong-guang;  ZENG Shu-yi.
Department of Cardiology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
关键词:
血管痉挛;  桡动脉;  经桡动脉途径;  介入;  冠心病
分类号:
Ｒ５４１.４；Ｒ４５
文献标志码:
Ａ
摘要:
目的 探讨经桡动脉入路行冠心病介入诊疗中桡动脉痉挛发生的风险及其预测因素。方法 入选经桡动脉入路行冠心病介入诊疗的患者１ ０２０例，记录所有患者的病史资料及用药方案，均经桡动脉行冠状动脉（冠脉）造影术。测量桡动脉直径并记录动脉解剖异常情况，再行下一步的冠脉造影（ＣＡＧ）或冠脉介入治疗（ＰＣＩ）。应用Ｌｏｇｉｓｔｉｃ回归模型分析各因素对冠心病介入诊疗过程中桡动脉发生痉挛的影响。结果　　　２０９（２０．５％）例患者发生桡动脉痉挛。多元Ｌｏｇｉｓｔｉｃ回归分析显示女性（ＯＲ　＝　２．８，９５％　ＣＩ ２．５　～　５．８；Ｐ　＝　０．００１）、年龄（ＯＲ　＝　０．６８，９５％　ＣＩ　０．６０　～　０．９２；Ｐ　＝　０．００３）、吸烟（ＯＲ　＝　２．３，　９５％　ＣＩ １．８　～　４．１；Ｐ　＝　０．０２６）、桡动脉鞘置入时前臂疼痛（ＯＲ　＝　３．０，９５％　ＣＩ ２．３　～　４．８；Ｐ　＝　０．００６）、桡动脉路径解剖异常（ＯＲ　＝　４．７，９５％　ＣＩ ３．６ ～ ７．２；Ｐ　＝　０．００２）、桡动脉直径／身高比值（ＯＲ　＝　５．２，９５％　ＣＩ ３．７　～ ８．１；Ｐ　＝　０．０１２）、桡动脉直径／导管外径比值（ＯＲ　＝　５．８，９５％　ＣＩ ４．２　～　６．９；Ｐ　＝　０．００６）、导管交换次数（ＯＲ　＝　２．３，９５％　ＣＩ １．４　～ ４．３；Ｐ　＝　０．０３８）是桡动脉发生痉挛的独立相关因素。结论　　　经桡动脉入路行冠心病介入诊疗过程中患者发生桡动脉痉挛事件较常见，女性、低龄、吸烟、桡动脉路径解剖异常、桡动脉直径／身高的比值低、桡动脉直径／导管外径的低比值、多次导管交换是其发生的主要危险因素。

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备注/Memo

备注/Memo:
收稿日期：２０１０１０１６
广西科学研究与技术开发计划项目（桂科攻0816004-7）
更新日期/Last Update: 2011-04-30