脑破裂动脉瘤栓塞术后脑血管痉挛发生现状及其相关因素分析  

Analysis on occurrence status quo and related factors of cerebral vasospasm after cerebral ruptured aneurysm embolization

作　　者：张茂[1] 陈健龙[1] 彭浩[1] 符传艺[1] ZHANG Mao;CHEN Jianlong;PENG Hao;FU Chuanyi(Department of Neurosurgery,Hainan Provincial People′s Hospital,Haikou,Hainan 570311,China)

机构地区：[1]海南省人民医院神经外科,海口570311

出　　处：《重庆医学》2018年第12期1625-1627,1631,共4页Chongqing medicine

基　　金：海南省自然科学基金(20168284)

摘　　要：目的探讨脑破裂动脉瘤栓塞术后脑血管痉挛发生现状及其相关因素。方法以行栓塞术治疗的脑破裂动脉瘤患者66例为研究对象,常规行动脉瘤栓塞术治疗,统计住院期间脑血管痉挛发生率,并分析脑破裂动脉瘤栓塞术后脑血管痉挛的相关因素。结果患者脑血管痉挛发生率为22.73%。无脑血管痉挛患者与出现脑血管痉挛患者比较,年龄、BMI、高血压、吸烟史、动脉瘤数、Fisher分级、Hunt-Hess分级、手术时机、格拉斯哥昏迷指数(GCS)比较差异有统计学意义(P<0.05)。脑破裂动脉瘤栓塞术后脑血管痉挛的相关因素有年龄、高血压、吸烟史、动脉瘤数、Fisher分级、Hunt-Hess分级、手术时机及GCS。结论脑破裂动脉瘤栓塞术后脑血管痉挛发生率高,且与患者年龄、高血压、吸烟史、动脉瘤数、Fisher分级、Hunt-Hess分级、手术时机及GCS相关。Objective To investigate the occurrence status quo and related factors of cerebral vasospasm after cerebral ruptured aneurysms embolization.Methods Sixty-six patients with ruptured cerebral aneurysms undergoing embolization treatment were selected as the research subjects,and conducted routine aneurysm embolization treatment.The cerebral vasospasm occurrence rate during hospitalization period was statistically calculated,and the related factors of cerebral vasospasm after cerebral aneurysm rupture embolization were analyzed.Results The cerebral vasospasm occurrence rate was 22.73%.Age,body mass index(BMI),hypertension rate,smoking history,aneurysms number,Fisher grade,Hunt-Hess grade,operation timing and Glasgow coma index(GCS)had statistically significant difference between the patients with and without cerebral vasospasm(P<0.05).The related factors of cerebral vasospasm after embolization of ruptured aneurysms were age,hypertension,smoking history,number of aneurysms,Fisher grade,Hunt-Hess grade,operation timing and GCS index.Conclusion The cerebral vasospasm rate after embolization of ruptured aneurysms is high,and related to age,hypertension,smoking history,number of aneurysms,Fisher grade,Hunt-Hess grade,operation timing and GCS index.

关 键 词：动脉瘤 破裂 血管痉挛 颅内 脑破裂动脉瘤 栓塞术 脑血管痉挛 相关因素 

分 类 号：R743[医药卫生—神经病学与精神病学]