摘要
目的分析颅内动脉瘤介入术后并发脑缺血的危险因素。方法选取80例行颅内动脉瘤介入术的患者作为研究对象,统计术后脑出血发生情况。采用自制调查问卷收集患者性别、年龄、颅内动脉位置、糖尿病史、蛛网膜下腔出血病史、吸烟史、颅内血管狭窄、高血压史、动脉瘤最大径、手术时间等信息,分析颅内动脉瘤介入术后发生脑缺血的影响因素。结果术后脑缺血并发症发生16例,未发生64例,发生率20.00%(16/80)。吸烟史、高血压史、动脉瘤最大径、手术时间是影响颅内动脉瘤介入术后并发脑缺血的因素(P<0.05);logistic回归分析显示,存在高血压史、存在吸烟史、动脉瘤最大径>10 mm、手术时间>60 min是颅内动脉瘤介入术后并发脑缺血的危险因素(P<0.05)。结论高血压史、吸烟史、动脉瘤最大径和手术时间过长是颅内动脉瘤介入术后发生脑缺血并发症的危险因素,临床医生应对合并上述危险因素的患者加强预防治疗,改善预后。
Objective To analyze the risk factors of cerebral ischemia after intracranial aneurysm intervention.Methods 80 patients with intracranial aneurysms underwent interventional surgery were selected as the study subjects, and the incidence of postoperative cerebral hemorrhage was counted.A self-made questionnaire was used to collect the information of patients’ gender, age, location of intracranial arteries, history of diabetes, history of subarachnoid hemorrhage, history of smoking, history of intracranial vascular stenosis, history of hypertension, maximum diameter of aneurysms and operation time, and to analyze the influencing factors of cerebral blood deficiency after intracranial aneurysm intervention.Results Postoperative cerebral ischemia complications occurred in 16 cases, 64 cases did not occur, the incidence rate was 20.00%(16/80).Smoking history, hypertension history, maximum diameter of aneurysm and operation time were the factors influencing cerebral ischemia after intracranial aneurysm intervention(P<0.05);Logistic regression analysis showed that the history of hypertension, smoking, the maximum diameter of aneurysm > 10 mm and the operation time > 60 min were the risk factors of cerebral ischemia after intracranial aneurysm intervention(P<0.05).Conclusion The history of hypertension, smoking, the maximum diameter of aneurysm and the long operation time are the risk factors of cerebral ischemia complications after intracranial aneurysm intervention.Clinicians should strengthen the prevention and treatment of patients with these risk factors to improve the prognosis.
作者
贾云玲
阮婷婷
刘利艳
JIA Yunling;RUAN Tingting;LIU Liyan(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,471000)
出处
《实用癌症杂志》
2022年第10期1625-1627,共3页
The Practical Journal of Cancer
关键词
颅内动脉瘤
介入治疗
脑缺血
危险因素
Intracranial aneurysm
Interventional therapy
Cerebral ischemia
Risk factors
