摘要
目的探讨在颈动脉成形及支架置入术后患者中脑高灌注综合征发生的影响因素。方法回顾性分析2017年1月—2019年9月于笔者医院就诊的199例接受颈动脉成形及支架置入术患者的临床资料。根据颈动脉成形及支架置入术后是否发生高灌注综合征将其分为CHS组及非CHS组。分别比较两组的术前、术中及术后资料等有无统计学差异。结果在颈动脉成形及支架置入术中,CHS组与非CHS组患者在手术时间窗(<4周)、侧支循环代偿能力(差)、术前狭窄率、残余狭窄率、术后血压高等差异有统计学意义(P <0.05)。结论颈动脉成形及支架置入术患者手术时间窗(<4周)、侧支循环代偿能力(差)、术前狭窄率、残余狭窄率、术后血压高是影响脑高灌注综合征发生的重要危险因素。
Objective To investigate the influencing factors of cerebral hyperperfusion syndrome in patients after carotid artery forming and stent implantation.Methods A retrospective analysis of the clinical data of 199 patients who underwent carotid artery angioplasty and stent placement in the author’s hospital from January 2017 to September 2019.The patients were divided into hyperperfusion syndrome group and non-hyperperfusion syndrome group according to whether cerebral hyperperfusion syndrome occurred after carotid artery forming and stent implantation.Compare whether there were statistical differences in preoperative,intraoperative and postoperative data between the two groups.Results There were significant differences in surgical time window(<4 weeks),collateral circulation compensatory capacity(poor),preoperative stenosis rate,residual stenosis rate and high postoperative blood pressure between patients with hyperperfusion syndrome and non-hyperfusion syndrome(P<0.05).Conclusion Patients with carotid artery formation and stent implantation,surgery time window(<4 weeks),collateral circulation compensatory capacity(poor),high postoperative blood pressure are important risk factors affecting the occurrence of cerebral hyperperfusion syndrome.
作者
李元霄
刘昌云
陈枝挺
林汉斌
LI Yuanxiao;LIU Changyun;CHEN Zhiting;LIN Hanbin(Department of Neurology,Union Hospital of Fujian Medical University,Fuzhou Fujian 350001,China)
出处
《中国卫生标准管理》
2020年第19期52-55,共4页
China Health Standard Management
关键词
脑卒中
颈动脉狭窄
高灌注综合征
颈动脉成形术
颈动脉支架置入术
脑水肿
stroke
carotid artery stenosis
hyperperfusion syndrome
carotid artery forming
carotid artery stent implantation
brain edema
