| 蔚永运,傅向华,孙树印,薛玲,$2,郝国贞,张一达.经桡动脉和股动脉入径行冠脉介入术对急性心肌梗死患者心理影响的对比研究[J].中国康复医学杂志,2006,21(4):349~352 |
| 经桡动脉和股动脉入径行冠脉介入术对急性心肌梗死患者心理影响的对比研究 点此下载全文 |
| 蔚永运 傅向华 孙树印 薛玲 $2 郝国贞 张一达 |
| [1]河北医科大学第二医院心血管干部病房,河北省石家庄市和平西路215号050000 [2]山东省济宁第一人民医院急诊科,河北省石家庄市和平西路215号050000 |
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| 目的：探讨经桡动脉和股动脉不同入径行冠脉介入（PCI）治疗对急性心肌梗死（AMI）患者心理的影响.方法：216例AMI患者分为两组,经桡动脉介入治疗（TRA-pPCI）组110例,经股动脉介入治疗（TFA-pPCI）组106例,采用焦虑自评量表（SAS）、抑郁自评量表（SDS）及症状自测量表（SCL-90）为心理健康状况测试工具对急性心肌梗死患者进行测试.结果：两组患者发病年龄、AMI类型、Killip分级、病变相关血管、穿刺路径成功率、手术成功率、手术效果等方面无显著性差异（P＞0.05）.TRA-pPCI组术后穿刺部位并发症比TFA-pPCI组明显减少（P＜0.01）,平均卧床时间和住院时间明显缩短（P＜0.01）,术前两组SAS、SDS症状分无显著差异,术后TRA-pPCI组比TFA-pPCI组显著降低（P＜0.01）;两组患者介入前SCL-90各项因子均高于中国常模,介入后TRA-pPCI组躯体化、抑郁、焦虑各因子分显著低于TFA-pPCI组（P＜0.05）.结论：在有条件的心脏介入中心选择经桡动脉入径行血管重建治疗可以减少AMI患者心理问题发生率,减轻住院患者的焦虑及抑郁. |
| 关键词：急性心肌梗死 桡动脉 股动脉 经皮冠脉介入治疗 康复 焦虑 抑郁 |
| The comparative study on psychological influence of transradial vs transfemoral artery access for percutanous coronary intervention in patients with acute myocardial infarction Download Fulltext |
| WEI Yongyun FU Xianghua SUN Shuyin |
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| Abstract: |
| Objective:To investigate the psychological influence of transradial vs transfemoral artery access for percutanous coronary intervention(PCI) in patients with acute myocardial infarction(AMI).Method:Two hundreds and sixteen patients with AMI within 12 hours were randomly divided into transradial artery access for primary PCI group(TRA-pPCI) of 110 cases and transfemoral artery access for primary PCI(TFA-pPCI) of 106 cases.All the patients were inquired with SAS,SDS and symptom check list(SCL-90).Result:There was no significant difference in age, sex,Killip classification,infarction related artery,puncture access successful rate,operation successful rate,operation efficacy between the two groups.The incidence of complication in puncture site,the mean time of lying-in-bed and hospitalization time were less significantly in TRA-pPCI goup than those in TFA-pPCI group(P<0.05).The SAS and SDS quantity value have marked difference in TRA-pPCI group after PCI(P<0.01). The factor scores of samotization,depression,anxiety in TRA-pPCI group decreased significantly than those in TFA-pPCI group.Conclusion:Transradial artery access for pPCI can decrease the incidence of psychological problem in selective patients with acute myocardial infarction in prepared interventional cardiological center and thus can alleviate anxiety and depression of the AMI patients. |
| Keywords:acute myocardial infarction radial artery femoral artery percutanous coronary intervention rehabilitation depression anxiety |
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