颅内动脉瘤介入栓塞术对aSAH患者预后及免疫功能的影响  

Effect of interventional embolization of intracranial aneurysms on prognosis and immune function in patients with aSAH

作　　者：周雪华 傅谨 钱聪[2] ZHOU Xuehua;FU Jin;QIAN Cong(People's Hospital of Longyou,Zhejiang 324400,China)

机构地区：[1]浙江省龙游县人民医院,龙游324400 [2]浙江大学医学院附属第二医院

出　　处：《浙江创伤外科》2024年第7期1212-1214,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨应用颅内动脉瘤介入栓塞术治疗高分级动脉瘤性蛛网膜下腔出血(aSAH)效果及对格拉斯哥预后评分(GOS评分)及免疫球蛋白水平的影响。方法选取2020年10月至2023年10月收治的60例高分级aSAH患者,按照随机数字表法原则,分成实验组、对照组各30例。对照组患者应用显微镜下夹闭术治疗,实验组患者应用颅内动脉瘤介入栓塞术治疗。比较两组GOS评分、免疫球蛋白[IgA、IgG、IgM水平]及术后并发症发生情况。结果实验组术后1、2、3个月GOS评分均高于对照组(P<0.05);两组术后1 d免疫球蛋白水平均较术前时刻降低,实验组术后1 d的IgA、IgG、IgM均高于对照组(P<0.05);实验组术后并发症总发生率低于对照组的(P<0.05)。结论对于高分级aSAH患者,采取颅内动脉瘤介入栓塞术治疗可显著提高患者GOS评分,维持免疫球蛋白水平,同时术后并发症发生率低。Objective To investigate the effect of interventional embolization of intracranial aneurysms in the treatment of high-grade aneurysmal subarachnoid hemorrhage(aSAH)and its effect on Glasgow prognosis score(GOS)and immunoglobulin level.Methods A total of 60 patients with high-grade aSAH treated from October 2020 to October 2023 were selected and divided into the experimental group and the control group with 30 patients in each group according to the principle of random number table.The control group was treated with microscope occlusion,and the experimental group was treated with intracranial aneurysm interventional embolization.GOS score,immunoglobulin(IgA,IgG,IgM levels)and postoperative complications were compared between the two groups.Results The GOS score of the experimental group was lower than that of the control group 1,2 and 3 months after operation(P<0.05).The levels of immunoglobulin in the experimental group were lower than those in the control group one day after surgery(P<0.05).The total incidence of postoperative complications in experimental group was lower than that in control group(P<0.05).Conclusion For patients with high-grade aSAH,interventional embolization of intracranial aneurysm can significantly improve the GOS score,maintain the level of immunoglobulin,and reduce the incidence of postoperative complications,which is worthy of promotion.

关 键 词：动脉瘤性蛛网膜下腔出血 高分级 颅内动脉瘤介入栓塞术 GOS评分 免疫球蛋白 

分 类 号：R651.1[医药卫生—外科学]