[1]彭应龙,宋 莉,佟小强,等.颈动脉支架成形术血流动力学改变的影响因素分析[J].介入放射学杂志,2013,(07):535-539.
 PENG Ying? long,SONG Li,TONG Xiao? qiang,et al.Analysis of factors causing hemodynamic instability in performing carotid artery angioplasty with stenting[J].journal interventional radiology,2013,(07):535-539.
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颈动脉支架成形术血流动力学改变的影响因素分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年07期
页码:
535-539
栏目:
神经介入
出版日期:
2013-07-23

文章信息/Info

Title:
Analysis of factors causing hemodynamic instability in performing carotid artery angioplasty with stenting
作者:
彭应龙 宋 莉 佟小强 杨 敏 牛国晨 邹英华
Author(s):
PENG Ying?蛳 long SONG Li TONG Xiao?蛳 qiang YANG Min NIU Guo?蛳 chen ZOU Ying?蛳 hua.
Department of Interventional Vascular Surgery, the First Hospital of Peking University, Beijing 100034, China
关键词:
【关键词】 颈动脉狭窄 颈动脉支架成形术 血流动力学改变 心率 血压
文献标志码:
A
摘要:
【摘要】 目的 分析颈动脉支架成形术(CAS)中血压及心率变化及可能的影响因素。方法 2003年1月—2012年1月收治颈动脉狭窄患者155例,行支架治疗。回顾性分析和比较术前、术中患者心率和血压的变化。结果 所有患者术中收缩压从术前平均(142.62 ± 18.51)mmHg(95.00 ~ 177.00 mmHg)下降为(132.38 ± 37.31)mmHg(69.00 ~ 258.00 mmHg),差异有统计学意义(P = 0.002);术中心率从平均(71.75 ± 10.37)次/min(50 ~ 102次/min)下降为61.802 ± 19.298次/min(0 ~ 150次/min),差异亦有统计学意义(P < 0.000 1)。患者术后高血压、低血压和心动过缓的发生率分别为17.4%、30.3%、38.7%。Logistic回归分析显示CAS血流动力学改变的影响因素包括球囊大小、支架大小等,其次可能与对侧颈动脉狭窄和糖尿病相关。结论 CAS可使血压及心率发生变化,主要出现收缩压及心率下降,也可出现血压升高。上述改变主要与球囊大小、支架大小密切相关;还可能与对侧颈动脉狭窄和糖尿病相关。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2013-03-01)
更新日期/Last Update: