高龄颅内动脉瘤患者行血管内治疗后脑血管痉挛的临床分析  

Clinical Analysis on the Cerebral Vasospasm After Endovascular Treatment in Elderly Patients With Intracranial Aneurysms

作　　者：杨彦昊[1] 

机构地区：[1]吉林省脑科医院神经外科,吉林四平136000

出　　处：《中国卫生标准管理》2016年第8期52-53,共2页China Health Standard Management

摘　　要：目的分析高龄颅内动脉瘤行血管内治疗后的脑血管痉挛的发生情况。方法选取我院急诊手术救治的99例高龄颅内动脉瘤者为研究组,选取同期救治的98例中青年颅内动脉瘤患者为对照组,对比组间术后脑血管痉挛发生率、GOS评分和m RS评分结果。结果研究组术后脑血管痉挛发生率、m RS评分高于对照组,GOS评分低于对照组,组间数据差异具有统计学意义(P<0.05)。结论与中青年患者相比,高龄颅内动脉瘤患者在血管内治疗后更容易发生脑血管痉挛、神经功能恢复效果更差,建议临床重视防治。Objective To analyze the occurrence situation of the cerebral vasospasm after endovascular treatment in elderly patients with intracranial aneurysms. Methods 99 cases of elderly intracranial aneurysms patients were selected in our hospital as the study group,98 cases of young patients with intracranial aneurysm as control group in the same period. The postoperative cerebral vasospasm incidence,Gos score and m RS results were compared between the two groups. Results In the study group,the incidence rate of cerebral vasospasm and m RS results after operation were significantly higher than that in the conventional group,GOS score was lower than that of the control group（P〈0.05）,there were significant differences between the data from two groups. Conclusion When compares with young and middle-aged patients,cerebral vasospasm is more likely to occur in the elderly patients with intracranial aneurysms after the endovascular treatment,the neurological function recovery effect is even worse,prevention and treatment is recommended.

关 键 词：颅内动脉瘤 脑血管痉挛 血管内治疗 高龄 

分 类 号：R743[医药卫生—神经病学与精神病学]