摘要
目的:通过对因脑动脉瘤接受手术的患者的临床资料进行回顾性分析,探讨术中控制性降压和临时阻断与脑动脉瘤破裂之间的关系。方法:通过对165例脑动脉瘤夹闭和介入栓塞治疗患者有无高血压病史、术前血压、术中是否进行控制性降压、是否采取临时阻断等指标与脑动脉瘤是否破裂之间的关系用卡方检验和T检验进行统计分析,确定术中控制性降压和临时阻断对脑动脉瘤术中破裂的影响。结果:在165例脑动脉瘤夹闭和介入栓塞治疗病例中,临时阻断和控制性降压对脑动脉瘤术中破裂的发生率无影响;在73例夹闭术病例中,临时阻断可显著减少术中脑动脉瘤破裂的发生率(χ2=7.924,P=0.007),控制性降压对脑动脉瘤术中破裂的发生率无影响。结论:术中控制性降压不能减少动脉瘤术中破裂的风险,而临时阻断可以显著降低夹闭手术中动脉瘤破裂的风险。
Objective To retrospectively analyze the medical records of patients with cerebral aneurysms treated by surgical clipping and endovascular coiling, and explore the influence intraoperative blood pressure control and temporary occlusion exerts upon the risk of intraprocedttral rupture. Methods All indicators of 165 patients with cerebral aneurysms treated by aneurysm clipping and endovascular coiling, including ＂with or without a history of hypertension, preoperative blood pressure, and intraoperative controlled hypotension, whether to take temporary occlusion＂ were analyzed statistically using the chi - square test and T test to find out the association between these indicators above - mentioned and the risk of intraprocedural rupture. Results In 165 patients with cerebral aneurysms treated by aneurysm clipping and endovascular coiling, intraoperative controlled hypotension and temporary occlusion on the incidence of rupture in cerebral aneurysm surgery had no effect; in 73 patients ~6th cerebral aneurysms treated by clipping operation, temporary occlusion can significantly reduce the incidence of ruptured cerebral aneurysm （X2 = 7. 924, P = O. 07）, and intraoperative controlled hypo- tension had no effect on the incidence of rupture in cerebral aneurysm surgery. Conclusion The intraoperative controlled hypotension can not reduce the risk of rupture of aneurysm surgery; temporary occlusion can significantly reduce the risk of rupture of aneurysm cliDDin~ sur~,erv.
出处
《中国民族民间医药》
2013年第16期76-78,共3页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
脑动脉瘤
控制性降压
临时阻断
破裂
cerebral aneurysm
controlled hypotension
temporary occlusion
rupture
