摘要
本文分析了采用血管内支架成形术介入治疗对症状性椎动脉狭窄的老年患者的临床效果。随机抽取确诊为老年症状性椎动脉狭窄的42例患者,按照治疗方式不同分为两组,接受血管内支架成形术治疗的患者为实验组,未接受的患者为对照组,比较了两组患者的恢复时间、住院时间、经颅多普勒超声血流动力学指标改变情况和不良心血管事件发生率。对所有入组的老年症状性椎动脉狭窄患者进行为期一年的随访,比较了患者的预后情况。结果显示,经过血管内支架成形术治疗的老年症状性椎动脉狭窄患者恢复时间、住院时间显著短于未经血管内支架介入治疗的非治疗组;治疗组患者血流动力学指标改善程度显著优于对照组;治疗组的不良心血管事件发生率和预后情况均优于对照组。综合多项指标可知,血管内支架介入治疗对于老年症状性椎动脉狭窄的效果良好,临床可推广使用。
In this paper,we analyzed the clinical efficacy of endovascular stenting for symptomatic vertebral artery stenosis in elderly patients.A total of 42 aged patients who were diagnosed as symptomatic vertebral artery stenosis were randomly chosen.According to the different methods of treatment,they were divided into two groups:patients who were treated with endovascular stent angioplasty as the experimental group;the other patients as the control group.The patients’recovery time,length of stay,transcranial doppler ultrasound hemodynamic index and the occurrence of adverse cardiovascular events were compared between the two groups.All elderly patients with symptomatic vertebral artery stenosis were followed up for one year to record their prognosis.The results showed that the recovery time and length of hospital stay of elderly patients treated by stent angioplasty were significantly shorter than that of the control group.The change of hemodynamics indexes of the experimental group were better than those in the control group.The incidence of adverse cardiovascular events and prognosis in the experimental group was significantly less than those in the control group.According to above multiple indicators,endovascular stenting has a competitively good effect on symptomatic vertebral artery stenosis in the elderly,and should be used more comprehensively as a new reliable clinical treatment.
作者
陈尚雄
唐洁
杜松
张辉
孙龙
刘平
牟玮
郝迎学
CHEN Shangxiong;TANG Jie;DU Song;ZHANG Hui;SUN Long;LIU Ping;MOU Wei;HAO Yingxue(Vascular Surgery Department,The First Hospital Affiliated to Army Medical University,Chongqing 400038,P.R.China;Special Inspection Lab,Qijiang District People’s Hospital of Chongqing,Chongqing 401420,P.R.China)
出处
《影像科学与光化学》
CAS
2020年第4期671-675,共5页
Imaging Science and Photochemistry
关键词
椎动脉狭窄
老年患者
血管内支架成形术
血流动力学
vertebral artery stenosis
elderly patients
SSA(stent-assistant angioplasty)
hemodynamics
作者简介
通讯作者:陈尚雄。
