颈动脉支架术后血压变化相关因素分析  

CORRELATION FACTORS FOR BLOOD PRESSURE AFTER CAROTID ARTERY STENTING

作　　者：齐立[1] 俸军林[1] 刘开祥[1] 李慎茂[2] 

机构地区：[1]广西桂林医学院附属医院神经内科,桂林541001 [2]首都医科大学宣武医院介入中心,北京100053

出　　处：《广西医科大学学报》2013年第2期206-208,共3页Journal of Guangxi Medical University

基　　金：广西科学研究与技术开发计划项目(No.桂科攻10124001B-16)

摘　　要：目的:探讨颈内动脉狭窄支架置入术后影响动脉血压变化的相关因素。方法:对经过颈动脉支架成形术治疗的颈内动脉狭窄患者术后出现血压降低32例和未出现血压变化的35例临床资料进行Logistic回归分析,探讨颈内动脉狭窄支架置入术后影响动脉血压变化的相关因素。结果:狭窄程度(β=0.536;P=0.024;OR=2.591)、高血压(β=-1.654;P=0.006;OR=0.131)、球囊型号(β=1.818;P=0.012;OR=0.133)和支架的型号(β=1.328;P=0.021;OR=2.29)、病变位于球部(β=1.613;P=0.014;OR=0.133)和球囊扩张的次数(β=1.328;P=0.022;OR=2.39)与血压的降低密切相关。结论:颈动脉支架置入术后继发的颈动脉窦反射引起患者血压降低是常见的并发症,其术前的血压、狭窄的程度、病变位于球部、球囊的型号、支架的型号及球囊扩张次数这些因素将会直接影响术后血压的变化。Objective：To investigate the correlation factors for blood pressure （BP） after carotid artery an- gioplasty and stenting （CAS）. Methods： The patients were divided into two groups according to the BP lev- els after CAS： normal BP group （ n =35） and BP change group （ n =32）. The correlation factors for BP after CAS were investigated. Results： Logistic regression showed that the degree of stenosis （β=0. 536, P =0. 024, OR=2. 591）, hypertension （β=-1. 654, P =0. 006, OR=0. 131）, size of balloon （β=1. 818, P =0. 012, OR=0. 133）, size of stent （β=1. 328, P =0. 021, OR=2.29）, location of atherosclerotic plaque （β= 1. 613, P =0. 014, OR=0. 133） and times of balloon dilatation were closely correlated with hemody- namics. Conclusion： Decreased BP caused by carotid sinus following CAS is a common complication. Hy- pertension, degree of stenosis, size of balloon, size of stent, location of atherosclerotic plaque, and times of balloon dilatation are the independent correlation factors of hemodynamics.

关 键 词：颈动脉支架 血压降低 心率 危险因素 

分 类 号：R743[医药卫生—神经病学与精神病学]