经不同动脉途径脑血管造影术后并发症的决策树模型构建  

Construction of decision tree model of complications after cerebrovascular angiography through different arterial pathways

作　　者：张明升 林俊明[1] 汤志辉 郑雪峰 王文浩[1] ZHANG Mingsheng;LIN Junming;TANG Zhihui;ZHENG Xuefeng;WANG Wenhao(The 909th Hospital/Dongnan Hospital of Xiamen University,Zhangzhou 363000,China)

机构地区：[1]第九〇九医院/厦门大学附属东南医院,福建漳州363000

出　　处：《长春中医药大学学报》2024年第12期1380-1383,共4页Journal of Changchun University of Chinese Medicine

摘　　要：目的观察经桡动脉与经股动脉途径行全脑血管造影术的并发症发生情况,探究并发症的干预对策。方法回顾性选取2021年1月—2022年1月在本院接受经桡动脉全脑血管造影术治疗的43例患者为观察组,另选取同期接受经股动脉全脑血管造影术的50例患者为对照组。收集2组术中并发症发生情况,对比2组手术指标,根据并发症的发生原因探究干预对策。结果观察组总手术操作时间明显短于对照组(P<0.05)。观察组未出现皮下血肿,对照组出现5例(10.00%),差异具有统计学意义(P<0.05)。2组患者并发症总发生率比较,差异无统计学意义(P>0.05)。单因素分析结果显示,患高血压、高血脂为患者出现并发症的可疑影响因素。构建决策树模型分析结果显示,高血压的患者发生并发症的概率(35.1%),显著高于无高血压患者(5.6%),预测准确率为76.3%。结论与股动脉数字减影脑血管造影相比,经桡动脉穿刺进行数字减影脑血管造影可以减少手术操作时间,降低皮下血肿发生率,整体并发症发生率不高,具有一定安全性。Objective To observe the incidence of complications in total cerebral angiography performed via transradial approach and transfemoral approach,and to explore the intervention strategies of complications.Methods From January 2021 to January 2022,43 patients who underwent total cerebral angiography via transradial approach in the 909th Hospital of Joint Logistics Support Force were retrospectively selected as the observation group,and 50 patients who underwent total cerebral angiography via transfemoral approach during the same period were selected as the control group.The intraoperative complications of two groups were collected,and the surgical indicators of two groups were compared,and intervention strategies were explored according to the causes of complications.Results The total surgical time of the observation group was significantly shorter than that of the control group(P<0.05).There was no subcutaneous hematoma observed in the observation group,while there were 5 cases(10.00%)in the control group,and there was statistically significant difference(P<0.05).There was no statistically significant difference in the total incidence of complications between two groups(P>0.05).The results of univariate analysis showed that hypertension and hyperlipidemia were suspected influencing factors for the occurrence of complications in patients.The analysis results of the constructing the decision tree model showed that the probability of complications in patients with hypertension was 35.1%,which was significantly higher than 5.6%in patients without hypertension,and the prediction accuracy was 76.3%.Conclusion Compared with digital subtraction angiography(DSA)of femoral artery,DSA performed through radial artery puncture can shorten surgical time,reduce the incidence of subcutaneous hematoma,and the overall incidence of complication is not high.It has a certain level of safety.

关 键 词：全脑血管造影术 桡动脉 股动脉 并发症 

分 类 号：R743.6[医药卫生—神经病学与精神病学]