经桡动脉冠脉介入中桡动脉痉挛发生的相关因素分析
经梯动脉冠脉介入中梯动脉痉挛发生的相关因素分 析 The analysis about related risk factors of radial artery spasm in transradial coronary intervention 郑望魏易洪邓兵周端李广浩 作者单位:200032上海市,上海中医药大学附属龙华医院心内科 通讯作者: 李广浩,E-mail: shanxianlgh@sina. com 【摘要】目的 探讨经格动脉行冠状动脉(冠脉)介入诊疗中格动脉痉挛发生可 能的危险因素。方法选取经格动脉途径行冠心病介入诊疗的患者293例,记录 所有患者的病史资料及冠脉造影特征,均经格动脉行冠脉造影术(CAG)或冠 脉介入治疗(PCI) o应用Logistic回归模型分析各因素对冠心病介入诊疗过程 中格动脉发生痉挛的影响。结果59例(20.1%)患者发生格动脉痉挛。多元 Logistic 回归分析显示女性(O R=3.093;P=0.034)、高脂血症(O R=2.897;P=0.023)、 吸烟史(OR=3.894; P=0.009)、梯动脉鞘置入时前臂疼痛(OR=5.393; PV0.001)、 楼动脉路径解剖异常(OR=3.590; P=0.005)是格动脉痉挛发生的独立危险因素。 结论 女性、高脂血症、吸烟、格动脉路径解剖异常、术中前臂疼痛是格动脉痉 挛发生的可能相关危险因素。 【关键词】格动脉痉挛;经格动脉途径;介入;相关性 The analysis about related risk factors of radial artery spasm in transradial coronary intervention ZHENG wang,WEI yi-hong,DENG bing,et al. Shanghai University of Traditional Chinese Medicine Department of Cardiology, Longhua Hospital,shanghai 200032,China [Abstract] Objective To explore the possible risk factors causing radial artery spasm (RAS) in transradial coronary intervention. s The clinical data and angiographic characteristics were collected in 293 patients (162 males and 131 females) who underwent transradial coronary angiography (CAG) or percutaneous coronary intervention (PCI). Multivariate Logistic regression analysis was adopted to uate the variables. Results RAS occurred in 59 (20.1%) patients. Logistic regression analysis showed that RAS correlated with the following five factors which are female gender (OR=3.093; P=0.034), Hyperlipidemia (OR=2.897; P=0.023), smoking (OR=3.894; P=0.009), anatomical abnormalities in radial artery (OR=3.590; P=0.005), moderate-to-severe pain of forearm during radial artery cannulation (OR=5.393; P30%)即可确认为RAS。 1.3统计分析 采用SPSS16.0统计软件分析,计量资料用均数土标准差(亍土s)表示,计数 资料用频数(频率)表示。计量资料比较:方差齐并符合正态分布用t检验或单 因素方差分析,不符合用秩和检验;计数资料用寸检验。多因素分析用Logistic 回归分析方法。以PV0.05表示差异有统计学意义。 2结果 2.1基础资料 共纳入293例患者,根据是否发生RAS分成两组。RAS组(59例)与非RAS 组(234例)临床基础资料比较见表1,其中性别、身高、体重、体质指数、糖尿 病、吸烟、高脂血症患者的比率两组间差异有统计学意义(PV0.05)