探讨经桡动脉与股动脉冠状动脉介入治疗高龄急性冠脉综合征的临床价值。

选取2016年5月至2017年8月荣成市人民医院收治的高龄急性冠脉综合征患者50例，随机分为对照组与观察组，每组25例。对照组经股动脉行PCI治疗，观察组经桡动脉行PCI治疗，比较两组手术情况、手术成功率、主要心血管事件及穿刺部位并发症情况。

两组手术情况中造影剂用量、X线曝光时间、手术时间及主要心血管事件总发生率比较，差异无统计学意义(P>0.05)；较对照组，观察组穿刺时间、术后卧床时间、术后出院时间均较短，穿刺部位并发症发生率较低，差异有统计学意义(P<0.05)。

经桡动脉与经股动脉行PCI治疗，成功率相当，但经桡动脉可有效减少主要心血管事件及穿刺部位的并发症，术后卧床时间较短，具有良好的安全性。

To investigate the clinical value of transradial and femoral artery coronary intervention in the treatment of elderly patients with acute coronary syndrome.

Fifty elderly patients with acute coronary syndrome who were treated in our hospital from May 2016 to August 2017 were randomly divided into two groups of 25 patients.The control group was treated with PCI via the femoral artery.The patients in the observation group underwent radial artery PCI.The operative conditions, operative success rates, major cardiovascular events and complications of the puncture site were compared between the two groups.

There was no significant difference in contrast agent dosage, X-ray exposure time, operation time and the total incidence of major cardiovascular events between the two groups (P>0.05). Compared with the control group, the puncture time, postoperative bed rest Time, postoperative discharge time were shorter, the incidence of complications at the puncture site was lower, the difference was statistically significant (P<0.05).

The success rate of transradial and transthoracic PCI is similar, but the transradial artery can effectively reduce the major cardiovascular events and the complications of the puncture site.The postoperative bed rest time is short and has good safety.