| 苗素琴,金微微,余娜,等.颈动脉粥样硬化与急性 Stanford A型主动脉夹层术后并发症的相关性分析[J].安徽医药,2022,26(10):1936-1939. |
| 颈动脉粥样硬化与急性 Stanford A型主动脉夹层术后并发症的相关性分析 |
| Correlation analysis between carotid atherosclerosis and postoperative complications of acute Stanford A aortic dissection |
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| DOI：10.3969/j.issn.1009-6469.2022.10.007 |
| 中文关键词: 动脉瘤，夹层 颈动脉粥样硬化 急性 Stanford A型 主动脉 并发症 相关性 |
| 英文关键词: Aneurysm,dissecting Carotid atherosclerosis Acute stanford type A Aorta Complications Correlation |
| 基金项目:国家自然科学基金资助项目( 81500417) |
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| 中文摘要: |
| 目的探究颈动脉粥样硬化与急性 Stanford A型主动脉夹层术后并发症的相关性。方法回顾性分析 2019年 2月至 2020年 2月中国人民解放军东部战区总医院收治的急性 Stanford A型主动脉夹层病人 80例，其中合并颈动脉粥样硬化 40例为观察组，无颈动脉粥样硬化 40例为对照组。分析两组术前、术中基线资料。以 Kaplan-Mei法描述两组术后 1个月内永久性神经系统功能障碍(PND)和短暂性神经系统功能障碍(TND)发生率，采用 Cox比例风险模型计算颈动脉粥样硬化病人术后 PND、TND风险比及 95%CI。结果观察组共 23例( 57.50%)术后出现中枢神经系统疾病，观察组 PND、TND发生率分别为 17.50%(9/40)、 |
| 英文摘要: |
| Objective To explore the relationship between carotid atherosclerosis and complications after acute Stanford A aortic dissection.Methods A retrospective analysis was made of 80 patients with acute Stanford type A aortic dissection admitted to GeneralHospital of Eastern Theater Command from February 2019 to February 2020. Among them, 40 patients with carotid atherosclerosiswere in the observation group, and 40 patients without carotid atherosclerosis were in the control group. The preoperative and intraoper.ative baseline data of the two groups were analyzed. The Kaplan-Mei method was used to describe the incidences of permanent neuro.logical dysfunction (PND) and transient neurological dysfunction (TND) in the two groups within 1 month after surgery, and the Cox pro.portional hazard model was used to calculate the postoperative PND and TND risk ratios and 95% CI in patients with carotid atheroscle. rosis.Results A total of 23 (57.50%) cases in the observation group developed central nervous system diseases after operation. The in.cidence rates of PND and TND in the observation group were were higher than those in the control group [PND: 17.50% (9/40) vs. 5.00% (2/40); TND: 30.00% (14/40) vs. 5.00% (2/40); P<0.05] Cox model showed that after adjusting for age, preoperative serum creati.nine level and deep hypothermic circulatory arrest time, compared with the control group, the risk of postoperative PND and TND in theobservation group patients with carotid atherosclerosis was significantly increased with statistically significant differences (P<0.05). Conclusion Patients of acute Stanford type A aortic dissection with carotid atherosclerosis are at greater risk of PND and TND after surgery. |
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