普通J型导丝在桡动脉途径导管输送中的临床应用

陈新敬; 浦晓东; 郭延松; 陈诗泉; 颜光烈; 吴志勇

文章摘要

陈新敬浦晓东郭延松陈诗泉颜光烈吴志勇.普通J型导丝在桡动脉途径导管输送中的临床应用[J].实用中西医结合临床,2014,14(9):6-7,29

普通J型导丝在桡动脉途径导管输送中的临床应用

The Clinical Application of Ordinary J Type Guide Wire in the Radial Artery Pathway During Transporting Catheter

DOI：

中文关键词: 普通J型导丝超滑导丝桡动脉导管输送

英文关键词: Ordinary J type guide wire Super smooth guide wire Radial artery Transportation catheter

基金项目:

作者	单位
陈新敬浦晓东郭延松陈诗泉颜光烈吴志勇	福建医科大学省立临床学院心内科

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中文摘要:

目的：观察经桡动脉途径使用导丝输送导管进行冠状动脉造影或治疗，与目前首选推荐使用的亲水涂层超滑导丝输送导管相比，探讨普通J型导丝输送导管的近期及远期临床效果。方法：将1 400例行经桡动脉途径输送导管的患者随机平均分为超滑导丝组（n=700）与普通J型导丝组（n=700），对两组患者操作时间、透视时间、射线暴露量、导丝通过成功率、并发症出现例数和9个月后随访桡动脉闭塞率进行比较分析。结果：普通J型导丝组在操作时间、透视时间、射线暴露量和并发症出现例数方面均明显少于超滑导丝组，差异均有统计学意义（P＜0.01）；导丝通过成功率和桡动脉闭塞率方面两组比较，差异均无统计学意义（P>0.05）。结论：与亲水涂层超滑导丝相比，经桡动脉途径使用普通J型导丝进行导管输送更安全有效，可作为常规首选导丝输送导管。

英文摘要:

Objective: To observe the short-term and long-term clinical effect of ordinary J type guide wire during transportation catheter in trans-radial coronary angiography or treatment, compared with the hydrophilic coating super smooth catheter. Methods: The patients (n=1 400) were randomly divided into super smooth guide wire group (n=700) and ordinary J type guide wire group (n=700), compared the operation time, X-ray fluoroscopy of time, amount of radiation exposure, operation guide wire success rate, complications of cases and radial artery occlusion rate after nine months of the two groups. Results: The operation time, X-ray fluoroscopy of time, amount of radiation exposure and complications of the ordinary J type guide wire group were significantly less than that of the super smooth guide wire group, differences were statistically significant (P<0.01), the operation guide wire success rate and radial artery occlusion rate were similar between the two groups, there was no statistical difference (P>0.05). Conclusions: Compared with super smooth guide wire, ordinary J type guide wire is more secure, effective, it can be used as firs-routine guide wire in trans-radial coronary angiography or treatment.

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