不同年龄颈动脉狭窄患者支架置入术围术期并发症的临床观察  

Complications of perioperative stenting in carotid stenosis patients at different ages

作　　者：杨海[1] 王超[1] 

机构地区：[1]河南科技大学第一附属医院放射科,洛阳471003

出　　处：《中华老年心脑血管病杂志》2015年第7期742-744,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨不同年龄颈动脉狭窄患者支架置入术（CAS）围术期30d内并发症。方法回顾性分析行CAS治疗的颈动脉狭窄患者137例,共行141处支架,按年龄分为3组：中年组（〈60岁）44例,老年组（60-79岁）68例,高龄组（≥80岁）25例,观察3组间围术期30 d内并发症的发生情况。结果 3组术中心动过缓、短暂性低血压、脑梗死、高灌注综合征等并发症比较,无统计学差异（P〉0.05）。高龄组术后持续性低血压发生率明显高于中年组和老年组（48.0%vs 11.4%,16.2%,P〈0.05）。结论 CAS在各年龄段治疗颈动脉狭窄都是安全有效的;高龄患者术后持续性低血压的发生率明显增高,应早期积极治疗,以免出现相关严重并发症。Objective To study the complications of perioperative stenting in carotid stenosis patients at different ages.Methods Clinical data of 137 carotid stenosis patients with 141 stents placed were retrospectively analyzed.The patients were divided into 〈60 years old group（n =44）,60 —79 years old group（n = 68）,and ≥60 years old group（n = 25）.Their complications in 30 perioperative days were observed.Results No significant difference was found in complications such as bradycardia,transient hypotension,ischemic stroke,hyperperfusion syndrome（P〉0.05）.The incidence of sustained hypotension was significantly higher in ≥80 years old group than in 〈60 years old group and 60-79 years old group（48.0%vs 11.4%,48.0%vs 16.2%,P〈0.05）.Conclusion CAS is safe and effective for carotid stenosis patients at different ages.The incidence of sustained hypotension is significantly higher in advance-aged patients.Sustained hypotension should be treated as early as possible in order to avoid its severe complications.

关 键 词：颈动脉狭窄 支架 手术中并发症 低血压 心动过缓 脑梗死 

分 类 号：R743.3[医药卫生—神经病学与精神病学]