外科手术前血压变化与内 Carotid 动脉支架后心动脉鼻反应之间的相关性
Xinxiu Zhao1, Zhengyu Tong1, Liang Yin1
1Department of Neurology, The First Affiliated Hospital of Bengbu Medical College, 233000 Bengbu, Anhui, China.
Annali italiani di chirurgia
|February 17, 2025
概括
动脉支架 (CAS) 之前24小时的血压变化 (BPV) 预测了手术后的动脉鼻反应 (CSR) 的发生和类型. 特定的BPV指数可以识别患有不同CSR亚型风险的患者,帮助程序规划.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 干预心脏病学 干预心脏病学
背景情况:
- 内动脉支架 (CAS) 是一种预防中风的程序.
- Carotid sinus反应 (CSR) 是CAS后的一个潜在并发症.
- 预测CSR及其亚型对于患者管理至关重要.
研究的目的:
- 为了研究CAS前和术后CSR24小时血压变化 (BPV) 之间的关系.
- 确定特定的BPV索引,预测CAS实施和CSR亚型.
主要方法:
- 在手术前,接受CAS的105名患者接受了24小时的门诊血压监测.
- 患者被分为CSR和非CSR组,CSR进一步被分为低血压,心和混合类型.
- 分析了手术前的BPV指标,并在各组之间进行了比较.
主要成果:
- 在65.71%的患者中发生了CSR;低血压的CSR最常见 (66.67%).
- 高龄,高血压,冠状动脉疾病和吸烟史是CSR的危险因素.
- 特定的24小时静脉血压变化指数 (最大-最小差异,SD,CV,SV) 独立预测了CSR发生;透过静脉血压与特定的CSR亚型相关.
结论:
- 程序前的BPV指数与CAS后的CSR发生率和类型有显著的相关性.
- BPV作为一种有价值的预测指标,用于识别患有CSR风险的患者及其后CAS.特定亚型.
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