标题：经桡动脉、股动脉PCI治疗对急性心肌梗死患者心功能、心室重构及并发症的影响

      作者：黄卫东 1，何亚军 2，王显利 1，王文锋 3    1.延安大学咸阳医院心血管内科，陕西 咸阳 712000；2.陕西省核工业二一五医院心内科，陕西 咸阳 712000；3.商洛市中心医院心血管内科，陕西 商洛 726000

      卷次： 2022年33卷24期

      【摘要】 目的 探究经桡动脉与经股动脉经皮冠脉内支架置入术(PCI)治疗对急性心肌梗死患者心功能、心室重构及并发症的影响。方法 回顾性分析2019年1月至2021年1月于延安大学咸阳医院治疗的109例急性心肌梗死患者的临床资料，根据治疗方法不同将其分为对照组(54例，经股动脉冠脉介入)和观察组(55例，经桡动脉冠脉介入)。比较两组患者经冠脉介入治疗后1周和6个月的舒张期末室间隔厚度(VST)、左室后壁厚度(LVPWT)和治疗前、治疗6个月的左室舒张末期内径(LVDD)、左室收缩末期内径(LVDS)、左室射血分数(LVEF)、短轴收缩率(FS)以及治疗后并发症发生情况。结果 两组患者治疗后 1周和 6个月的 IVST、LVPWT比较差异均无统计学意义(P>0.05)；治疗后6个月，两组患者的LVDD、LVDS比较差异均无统计学意义(P>0.05)，但观察组患者治疗后的6个月的LVEF、FS分别为(49.23±6.51)%、(31.24±4.26)%，明显高于对照组的(46.13±6.25)%、(25.13±5.17)%，差异均有统计学意义(P<0.05)；治疗后，观察组患者的并发症总发生率为7.72%，明显低于对照组的24.07%，差异有统计学意义(P<0.05)。结论 经桡动脉经冠脉介入治疗急性心肌梗死能促进左心室重构，改善心功能，可有效降低并发症发生率。
      【关键词】 桡动脉；股动脉；经皮冠脉内支架置入术；心肌梗死；心室重构
      【中图分类号】 R542.2+2 【文献标识码】 A 【文章编号】 1003—6350（2022）24—3148—03

Effects of radial artery and femoral artery percutaneous coronary stenting on cardiac function, ventricularremodeling, and complications in patients with acute myocardial infarction.
HUANG Wei-dong 1, HE Ya-jun 2,WANG Xian-li1, WANG Wen-feng 3. 1. Department of Cardiovascular Medicine of Xianyang Hospital, Yan'an University,Xianyang 712000, Shaanxi, CHINA; 2. Department of Cardiology, No. 215 Hospital of Shaanxi Nuclear Industry, Xianyang712000, Shaanxi, CHINA; 3. Department of Cardiovascular Medicine, Shangluo Central Hospital, Shangluo 726000,Shaanxi, CHINA
【Abstract】 Objective To explore the effects of transradial and transfemoral percutaneous coronary stenting oncardiac function, ventricular remodeling, and complications in patients with acute myocardial infarction. Methods Theclinical data of 109 patients with acute myocardial infarction treated in Xianyang Hospital of Yan'an University from Jan-uary 2019 to January 2021 were retrospectively analyzed, and they were divided into a control group (54 cases, trans-femoral percutaneous coronary stenting) and an observation group (55 cases, transradial percutaneous coronary stent-ing). The end-diastolic septum thickness (VST), left ventricular posterior wall thickness (LVPWT), and left ventricularend-diastolic diameter (LVDD) before PCI and at 6 months after PCI were compared between the two groups, as well asleft ventricular end-systolic diameter (LVDS), left ventricular ejection fraction (LVEF), short-axis systolic rate (FS), andcomplications after treatment. Results There was no significant difference in IVST and LVPWT between the twogroups at 1 week and 6 months after treatment (P>0.05). At 6 months after treatment, there was no significant differencein LVDD and LVDS between the two groups (P>0.05); the LVEF and FS in the observation group were (49.23±6.51)%and (31.24±4.26)%, respectively, which were significantly higher than (46.13±6.25)% and (25.13±5.17)% in the controlgroup (P<0.05). After treatment, the incidence of complications in the observation group was 7.72%, which was signifi-cantly lower than 24.07% in the control group (P<0.05). Conclusion Transradial percutaneous coronary stenting in thetreatment of acute myocardial infarction can promote left ventricular remodeling, improve cardiac function, and effec-tively reduce the incidence of complications.
      【Key words】 Radial artery; Femoral artery; Percutaneous coronary stenting; Myocardial infarction; Ventricularremodeling