不同入路经皮冠状动脉介入治疗对冠心病老年患者手术情况及并发症、心理状态的影响

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【摘要】目的：探究不同入路经皮冠状动脉介入治疗对冠心病老年患者手术情况及并发症、心理状态的影响。方法：选取该院2021年8月—2022年12月收治的 100例冠心病老年患者，根据手术方式的不同进行分组（股动脉穿刺组n=50、桡动脉穿刺组n=50），对比两组手术情况、并发症、心理状态。结果：两组造影剂用量、介入手术时间以及术前心理状态对比（P>0.05）；桡动脉穿刺组穿刺时间高于股动脉穿刺组，术后卧床时间、术后住院时间以及术后汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）评分均低于股动脉穿刺组（P

【关键词】经皮冠状动脉介入治疗；冠心病；手术情况；并发症；心理状态

Effects of percutaneous coronary intervention with different approaches on operation， complications and psychological status of elderly patients with coronary heart disease

LI Daqian

Jinchang Central Hospital of Gansu Province， Jinchang， Gansu 737100， China

【Abstract】Objective： To explore the effects of different approaches of percutaneous coronary intervention on operation， complications and psychological status of elderly patients with coronary heart disease. Methods： 100 elderly patients with coronary heart disease admitted to the hospital from August 2021 to December 2022 were divided into groups according to different surgical methods （femoral artery puncture group n=50， radial artery puncture group n=50）， and the operation conditions， complications and psychological status of the two groups were compared. Results： Contrast dosage， interventional operation time and preoperative psychological state were compared between the two groups（P>0.05）. The puncture time of the radial artery puncture group was higher than that of the femoral artery puncture group， and the postoperative bed time， hospital stay and scores of the Hamilton Depression Scale （HAMD） and Hamilton Anxiety Scale （HAMA） were lower than those of the femoral artery puncture group（P

【Key Words】Percutaneous coronary intervention； Coronary heart disease； Operation situation； Complications； Mental state

冠状动脉粥样硬化心脏病是冠状动脉血管发生动脉粥样硬化病变，引起血管腔狭窄、阻塞，造成心肌缺血、缺氧或坏死导致的心脏病，又称冠心病，是临床上常见的心血管疾病[1]。（剩余3833字）