椎动脉起始部狭窄支架置入术后再狭窄的危险因素干预研究  

The study of intervention effect on common risk factors of restenosis after stent implantation patients with vertebral artery origin

作　　者：张敏[1] 王小菲 王曦[1] 王方[1] 胡佳佳 安燕妮[1] 

机构地区：[1]中国人民解放军第三0六医院神经内科,北京100101

出　　处：《中国临床保健杂志》2017年第6期738-740,共3页Chinese Journal of Clinical Healthcare

基　　金：首都临床特色应用研究课题(Z131107002213066)

摘　　要：目的探讨椎动脉起始部支架置入术后再狭窄常见危险因素的干预效果。方法回顾性分析40例椎动脉起始部支架置入术后患者的复查结果,因对照组当时治疗时未进行相关干预,故只能根据回顾性的分析,收集1年内随诊数据。对观察组的血压、血糖、血脂、吸烟的控制及服药、复查的依从性进行干预,自手术之日起1、3及6个月分别随访1次,6个月以后,每6个月随访1次。根据出现再狭窄率来判断干预的有效性。结果两组患者在血压、血糖控制及服降脂药及戒烟的依从性方面干预后,支架置入再狭窄的发生率差异均有统计学意义(均P<0.01)。结论椎动脉支架植入后再狭窄与血压、血糖控制、规范用药及戒烟有相关性,对其相关因素进行干预,能降低支架置入再狭窄的发生率。Objective To explore the vertebral artery restenosis after carotid stenting of common risk factors intervention effect. Methods A retrospective analysis of 40 cases of patients with vertebral artery after the starting of carotid stenting review results,because of the control group had no related intervention treatment at that time,so can only be based on a retrospective analysis of data collected within 1 year follow-up. The observation group blood pressure,blood glucose,blood lipids,smoking control and medication adherence to intervene or review,from the date of surgery,1,3 and 6 months follow-up of 1 times respectively,after 6 months,once every 6 months follow-up. According to appear the restenosis rate to determine the effectiveness of the intervention. Results The blood pressure,blood sugar control and lipid-lowering and adherence to stop smoking after the intervention,the incidence of stent restenosis differences were statistically significant between two groups( all P < 0. 01). Conclusion Blood pressure,blood sugar control,standardization of drug and stopping smoking can reduce the incidence of stent restenosis.

关 键 词：血管外科手术 支架 动脉粥样硬化 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]