摘要
目的探讨老年患者颈动脉支架成形术(CAS)后低血压影响因素分析。方法收集2020年1至2020年12月首都医科大学宣武医院接受CAS治疗的107例老年颈动脉狭窄患者临床资料。统计CAS术后低血压发生率;采用Logistic回归分析术后低血压发生的影响因素。结果107例老年颈动脉狭窄患者术后低血压发生率为37.4%;低血压患者合并未控制的高血压发生率、服用血管紧张素转化酶抑制剂药物率高于无低血压患者,术后第1个24 h液体入量高于无低血压患者,差异有统计学意义(P<0.05)。合并未控制的高血压、服用血管紧张素转化酶抑制剂、术后第1个24 h液体入量多是CAS后老年患者发生低血压的独立危险因素(P<0.05)。结论术前存在未控制的高血压、存在服用血管紧张素转化酶抑制剂药物史、术后第1个24 h液体入量多的老年患者CAS术后更易发生低血压。
Objective To investigate the risk factors of hypotension after carotid artery stenting(CAS)in elderly patients.Method The clinical data of 107 elderly patients with carotid artery stenosis who received CAS treatment in Xuanwu Hospital of Capital Medical University from January 2020 to December 2020 were collected.The incidence of postoperative hypotension after CAS was calculated.The risk factors of postoperative hypotension was analyzed using the logistic regression.Result The incidence of postoperative hypotension in 107 stenosis was 37.4%.The incidence of elderly patients with carotid artery patients with uncontrolled hypertension and rate of taking angiotensin converting enzyme inhibitor drugs taken compared to non-hypotension patients and those who received excessive fluid in the first 24 hours were higher than those of patients without these risk factors,and the differences were statistically significant(P<0.05).Uncontrolled hypertension,history of taking angiotensin-converting enzyme inhibitors,and the first 24 hours of postoperative fluid intake were independent risk factors for hypotension in elderly patients undergoing CAS(P<0.05).Conclusion Elderly patients with uncontrolled hypertension before surgery,a history of taking angiotensinconverting enzyme inhibitor drugs,and excessive fluid intake in the first 24 hours after surgery are more likely to suffer hypotension after CAS.
作者
余雪渊
王春梅
张帆
郭连瑞
Yu Xueyuan;Wang Chunmei;Zhang Fan;Guo Lianrui(Department of Vascular Surgery,Xuanwu Hospital of Capital Medical University,Beijing 100053,China)
出处
《血管与腔内血管外科杂志》
2021年第7期804-807,共4页
Journal of Vascular and Endovascular Surgery
基金
首都医科大学宣武医院院级基础-临床课题(XWJL-2019037)。
