颈动脉狭窄支架成形手术前后血流动力学变化的临床研究  

Clinical Study on Hemodynamic Changes Before and Afrer Stent Assisted Angioplasty for Carotid Artery Slenosis

作　　者：鲁增[1] 岳巍[1,2] 龙振海[1,2] 

机构地区：[1]阜新市中心医院神经外科,辽宁阜新123000 [2]沈阳二四二医院电诊科,辽宁沈阳110034

出　　处：《黑龙江医药》2017年第1期52-53,共2页Heilongjiang Medicine journal

摘　　要：目的:研究颈动脉狭窄患者进行支架成形手术前后的血流动力学的变化情况。方法:对2014年4月至2016年3月我院确诊的52例颈动脉狭窄患者进行支架成形手术,并记录术前术后患者的血流动力学指标:动脉峰值流速、舒张末流速、收缩期峰血流速度、平均血流速度、舒张期峰流速、动脉指数和阻力指数。结果:彩超数据中的术后30天和90天的颈动脉动脉峰值流速、舒张末流速和阻力指数即均比术前显著降低(P<0.05);经颅多普勒超声数据中的术后30天和90天的颈动脉收缩期峰血流速度、平均血流速度、舒张期峰流速和动脉指数均比术前显著增加(P<0.05)。结论:支架成形手术可高效治疗颈动脉阻塞,较好地改善颈动脉和脑动脉的血流状态,值得进行进一步的临床推广。Objective：Changes of hemodynamics before and after stent surgery in patients with carotid artery stenosis. Methods：to study the method of the April 2014 ~2016 year in March in our hospital diagnosed 52 cases of patients with carotid artery stenosis by angioplasty with stents, and record the hemodynamic indexes in patients with preoperative and postoperative artery peak velocity,end diastolic velocity, peak systolic blood flow speed, average flow velocity, diastolic peak velocity, arterial index and resistance index.The results of carotid artery peak velocity data in ultrasound after 30 days and 90 days, end diastolic velocity and resistance index were significantly lower than that before operation（P〈0.05）; Transcranial Doppler ultrasound data in 30 days after operation and 90 days of carotid artery peak systolic blood flow velocity, mean velocity, diastolic peak velocity and arterial index were significantly increased than before（P 〈 0.05）. Conclusion：the stent surgery can be effective treatment of neck It is worth further clinical application to improve the blood flow of carotid and cerebral arteries, and to improve the blood flow of carotid and cerebral arteries.

关 键 词：颈动脉狭窄 帕金森 临床疗效 

分 类 号：R543.4[医药卫生—心血管疾病]