增加桡动脉远端直径的方法。
Methods for increasing distal radial artery diameter.
机构信息
Department of Cardiology, Faculty of Medicine, Tekirdag Namık Kemal University, Tekirdag, Turkey.
出版信息
Eur Rev Med Pharmacol Sci. 2023 Mar;27(5):1875-1880. doi: 10.26355/eurrev_202303_31553.
OBJECTIVE
Our study aimed to find the maximum rate of increase in distal radial artery size.
PATIENTS AND METHODS
Diameter measurements were obtained on transverse and sagittal sections of the artery with a high-frequency linear transducer (Philips ClearVue L12-4 Mhz). In the baseline evaluation, radial artery and distal radial artery diameters were measured. The patients were divided into two groups: patients with flow-mediated dilatation in Group I and patients with 30 mg Topical Nitroglycerin in Group II. Group II patients were divided into two groups 30 minutes after topical nitroglycerin; patients with flow-mediated dilatation (FDM) in Group IIa, patients with wrist warming plus FMD in Group IIb.
RESULTS
A significant increase was found between baseline and second measurements in the radial artery (2.64±0.46 and 2.36±0.39 mm; p=0.02 in Group I, 2.78±0.38 and 2.39±0.25 mm; p=0.01 in Group II) and distal radial artery (2.29±0.49 and 1.93±0.37 mm; p=0.02 in Group I, 2.32±0.28 and 1.96±0.44 mm; p=0.04 in Group II) diameters. Radial (3.02±0.55 and 2.78±0.38 mm; p<0.01) and distal radial artery (2.55±0.32 and 2.32±0.28 mm; p=0.01) diameters increased compared to the second measurements in Group IIa. Radial (3.25±0.35 and 2.78±0.38 mm; p<0.01) and distal radial artery (2.88±0.12 and 2.32±0.28 mm; p<0.01) diameters increased compared to the second measurements in Group IIb. The results of the final evaluations of the two groups were compared, radial (3.02±0.55 and 3.25±0.35 mm; p=0.04) and distal radial artery (2.55±0.32 and 2.88±0.12 mm; p=0.03) diameters were found to be significantly higher in Group IIb than Group IIa. When comparing baseline and final evaluations, the radial artery diameter was increased by 37%, and the distal radial artery diameter was increased by 49% in Group IIb.
CONCLUSIONS
We increased the radial artery diameter higher proportion than defined in the literature.
目的
我们的研究旨在找到桡动脉远端直径增加的最大速率。
患者和方法
使用高频线性探头（飞利浦 ClearVue L12-4 MHz）在动脉的横切面和矢状面测量直径。在基线评估中，测量桡动脉和桡动脉远端的直径。将患者分为两组：血流介导扩张的患者为 I 组，30mg 硝酸甘油局部应用的患者为 II 组。II 组患者在局部应用硝酸甘油 30 分钟后分为两组：血流介导扩张的患者为 IIa 组，手腕加热加血流介导扩张的患者为 IIb 组。
结果
I 组桡动脉（2.64±0.46 与 2.36±0.39mm;p=0.02）和桡动脉远端（2.29±0.49 与 1.93±0.37mm;p=0.02）的直径在基线和第二次测量之间有显著增加。II 组桡动脉（2.78±0.38 与 2.39±0.25mm;p=0.01）和桡动脉远端（2.32±0.28 与 1.96±0.44mm;p=0.04）的直径也有显著增加。与 IIa 组的第二次测量相比，IIb 组的桡动脉（3.02±0.55 与 2.78±0.38mm;p<0.01）和桡动脉远端（2.55±0.32 与 2.32±0.28mm;p=0.01）的直径增加。与 IIa 组的第二次测量相比，IIb 组的桡动脉（3.25±0.35 与 2.78±0.38mm;p<0.01）和桡动脉远端（2.88±0.12 与 2.32±0.28mm;p<0.01）的直径增加。比较两组的最终评估结果，IIb 组的桡动脉（3.02±0.55 与 3.25±0.35mm;p=0.04）和桡动脉远端（2.55±0.32 与 2.88±0.12mm;p=0.03）的直径明显高于 IIa 组。与基线和最终评估相比，IIb 组的桡动脉直径增加了 37%，桡动脉远端直径增加了 49%。
结论
我们增加了桡动脉直径，增加幅度高于文献中的定义。
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