分析显微手术治疗颅内破裂动脉瘤后脑血管痉挛发生的影响因素  

Analysis of Influencing Factors of Cerebral Vasospasm after Microsurgical Treatment of Intracranial Ruptured Aneurysms

作　　者：宋剑飞 SONG Jian-fei(Department of Neurosurgery,Dandong First Hospital,Dandong 118000,China)

机构地区：[1]丹东市第一医院神经外科,辽宁丹东118000

出　　处：《中国医药指南》2020年第9期23-23,25,共2页Guide of China Medicine

摘　　要：目的分析显微手术治疗颅内破裂动脉瘤后脑血管痉挛发生的影响因素。方法回顾分析我院诊治的100例行显微手术治疗颅内破裂动脉瘤患者的临床资料,统计分析患者脑血管痉挛发生的危险因素。结果在100例患者当中,共出现16例脑血管痉挛患者,发生率为16.0%,手术之后患者发生脑血管痉挛的危险因素包括患者的年龄、出血次数、术前Hunt-Hesss分级、Fisber分级,是否合并高血压和糖尿病对术后患者脑血管痉挛发生情况没有影响。结论显微手术治疗颅内破裂动脉瘤后脑血管痉挛发生的影响因素比较复杂,主要包括患者的年龄、出血次数、术前Hunt-Hesss分级、Fisber分级,为了保证显微手术治疗的临床效果,在对患者实施手术的过程中一定要掌握术后患者发生脑血管痉挛的危险因素。Objective To analyze the influencing factors of cerebral vasospasm after microsurgical treatment of intracranial ruptured aneurysms.Methods The clinical data of 100 patients undergoing microsurgical treatment of intracranial ruptured aneurysms were retrospectively analyzed.The risk factors of cerebral vasospasm were statistically analyzed.Results Of the 100 patients,16 had cerebral vasospasm,with a prevalence of 16.0%.Risk factors for cerebral vasospasm after surgery included age,number of bleeding,preoperative Hunt-Hesss classification,and Fisber grading.Whether or not hypertension and diabetes have no effect on the occurrence of cerebral vasospasm in postoperative patients.Conclusion The influencing factors of cerebral vasospasm after microsurgical treatment of intracranial ruptured aneurysms are complex,including the age of patients,the number of bleeding,preoperative Hunt-Hesss classification,Fisber grading,in order to ensure the clinical effect of microsurgical treatment,In the process of performing surgery on patients,it is necessary to grasp the risk factors of cerebral vasospasm in postoperative patients.

关 键 词：显微手术 颅内破裂动脉瘤 脑血管痉挛 影响因素 

分 类 号：R739.41[医药卫生—肿瘤]