颅内动脉狭窄支架成形术后血管再狭窄的相关影响因素研究  

Study on Related Influencing Factors of Vascular Restenosis after Intracranial Artery Stenosis Stenting

作　　者：刘成辉 付剑 叶健新 黄兴华 LIU Chenghui;FU Jian;YE Jianxin;HUANG Xinghua(Brain Center,the Fifth People's Hospital of Nanhai District,Foshan 528200,China)

机构地区：[1]佛山市南海区第五人民医院脑科中心,广东佛山528200

出　　处：《临床医学工程》2023年第3期435-436,共2页Clinical Medicine & Engineering

摘　　要：目的探讨颅内动脉狭窄支架成形术(ICASS)后血管再狭窄的影响因素。方法回顾性分析2020年7月至2022年1月于我院行ICASS的80例颅内动脉狭窄患者的基础资料,按术后是否发生血管再狭窄分为狭窄组(n=26)与未狭窄组(n=54),采用多因素Logistic回归分析模型分析术后发生血管再狭窄的影响因素。结果单因素分析显示,年龄、性别、支架种类与ICASS后血管再狭窄的发生无关(P>0.05);吸烟史、是否合并高血压、是否合并糖尿病、术前动脉狭窄程度与ICASS后血管再狭窄的发生有关(P<0.05)。多因素Logistic回归分析显示,有吸烟史、合并高血压、合并糖尿病、术前动脉狭窄程度>75%均为ICASS后血管再狭窄发生的主要影响因素(P<0.05)。结论ICASS后血管再狭窄的影响因素较多,包括有吸烟史、合并高血压、合并糖尿病、术前动脉狭窄程度>75%等,临床需予以高度重视,及时采取有效的防控措施,最大程度地改善患者预后。Objective To explore the influencing factors of vascular restenosis after intracranial artery stenosis stenting(ICASS).Methods The basic data of 80 patients undergoing ICASS in our hospital from July 2020 to January 2022 were retrospectively analyzed,and divided into stenosis group(n=26)and non stenosis group(n=54)according to vascular restenosis after surgery.Multivariate Logistic regression analysis model was used to analyze the influencing factors of postoperative vascular restenosis.Results Univariate analysis showed that age,gender and stent type were not associated with vascular restenosis after ICASS(P>0.05);Smoking history,hypertension,diabetes and preoperative arterial stenosis degree were associated with vascular restenosis after ICASS(P<0.05).Multivariate Logistic regression analysis showed that hypertension,diabetes and preoperative arterial stenosis>75% were the main influencing factors for vascular restenosis after ICASS(P<0.05).Conclusions There are many influencing factors of vascular restenosis after ICASS,such as smoking history,hypertension,diabetes,and preoperative arterial stenosis degree>75%,which should be highly valued in clinic,and effective prevention and control measures should be taken in time to improve the prognosis of patients to the greatest extent.

关 键 词：颅内动脉狭窄 血管再狭窄 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]