脑血管造影术后血管痉挛的分析及预防措施  

Analysis and preventive measures for Cerebral angiography after vascular spasm

作　　者：高风全[1] 陈祥瑞[1] 张吉星[1] 谭国栋[1] 徐加志[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院神经外科,黑龙江齐齐哈尔161000

出　　处：《现代预防医学》2012年第20期5509-5510,5512,共3页Modern Preventive Medicine

摘　　要：目的探索脑血管造影术后血管痉挛的相关因素及对应的预防措施。方法选择2010年1月～2011年12月某院行脑血管造影检查的患者为研究对象,共计80例。对照分析不同因素情况下血管痉挛发生率,多元回归分析血管痉挛发生率与相关因素的相关性。结果技术操作熟练者发生率显著低于技术操作不熟练者(P﹤0.05),材料选择适合者发生率显著低于材料选择不适合者(P﹤0.05),操作时间长者发生率显著高于操作时间短者(P﹤0.05),存在特殊疾病者发生率显著高于不存在特殊疾病者(P﹤0.05),应用尿激酶者发生率显著低于未应用尿激酶者(P﹤0.05),应用尼莫地平者发生率显著低于未应用尼莫地平者(P﹤0.05)。血管痉挛发生率与技术操作、材料选择、尿激酶及尼莫地平呈负相关性,与操作时间及特殊疾病呈正相关性,差异有统计学意义(P﹤0.05)。结论脑血管造影术后发生血管痉挛的相关因素有:技术操作、材料选择、操作时间、特殊疾病、尿激酶及尼莫地平应用等,应在上述环境强化对应措施,以降低术后脑血管痉挛的发生率。OBJECTIVE To explore cerebral angiography after vascular spasm associated factors and corresponding preventive measures. METHODS From January 2010 - December 2011, patients with cerebral angiography examination were selected as the research objects, and a total of 80 cases were collected. Comparative analysis was taken to analyze the vasospasm incidence, multivariate regression analysis analyzed the incidence of vasospasm and related factors. RESULTS The ineidenee of skilled technical operations were significantly lower than the technical operation is not skilled （P 〈 0.05）, material selection for inci dence was significantly lower than the material selection is not suitable for persons （P 〈 0.05）, and the operation time was sig nificantly higher than that of elderly incidence of short operation time （P 〈 0.05）. There is a special disease incidence was sig nificantly higher than that of there is no special disease （P 〈 0.05）, urokinase incidence was significantly lower than that with out application of urokinase person （P 〈 0.05）, and application of nimodipine incidence was significantly lower than that with out application of nimodipine （P 〈 0.05）. The incidences of vasospasm and technical operation, material selection, urokinase and nimodipine were negative correlation, and the operation time and special disease were significantly positively correlated （P 〈 0.05）. CONCLUSION The related factors of cerebral angiography after occurrence of vasospasm were technology, material selection, operation time, special disease, urokinase and nimodipine application. We should strengthen the corresponding mea- sures for environment, so as to reduce the incidence of postoperative cerebral vasospasm.

关 键 词：脑血管 造影 血管痉挛 预防措施 

分 类 号：R445[医药卫生—影像医学与核医学]