The occurrence and risk factor analysis of restenosis in patients with cerebral artery stenosis stent implantation
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摘要: 目的 探讨脑动脉狭窄支架植入术患者再狭窄发生状况及危险因素。 方法 回顾性分析2010年8月—2014年12月金华市中心医院行脑动脉狭窄支架植入术的162例患者的临床资料。根据随访患者是否发生再狭窄分为再狭窄组和无再狭窄组。比较2组患者术前、术后6个月炎症因子超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)水平,并进行术后再狭窄的危险因素分析。 结果 162例患者中31例患者出现术后再狭窄,再狭窄率为19.14%;再狭窄组与无再狭窄组年龄、糖尿病、高血压、高血脂、吸烟情况差异有统计学意义(P<0.05);再狭窄组与无再狭窄组术前炎症因子超敏C反应蛋白(hs-CRP)、白介素6(IL-6)差异有统计学意义(P>0.05),2组术后6个月hs-CRP、IL-6水平均较治疗前明显降低(P<0.05),但非再狭窄组hs-CRP、IL-6水平均明显低于再狭窄组(P<0.05);二元Logistic多因素回归分析结果显示,高血压、吸烟、术后6个月hs-CRP、IL-6水平为脑动脉狭窄支架植入术术后再狭窄的危险因素。 结论 高血压、吸烟、术后6个月hs-CRP、IL-6水平为行脑动脉狭窄支架植入术患者术后再狭窄的危险因素,可针对此种情况采取措施避免或减少术后再狭窄的发生。
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关键词:
- 脑动脉狭窄支架植入术 /
- 再狭窄 /
- 炎症因子 /
- 危险因素
Abstract: Objective To investigate occurrence condition and risks of restenosis in patients with cerebral artery stenosis stent implantation. Methods Clinical data of 162 patients with cerebral artery stenosis stent implantation from August,2010 to December,2014 were analyzed retrospectively.According to restenosis condition,all the patients were divided into restenosis group and non-restenosis group.Hypersensitive c-reactive protein(hs-CRP) and interleukin 6(IL-6) levels before operation and six months after operation were tested and compared between 2 groups,and then we analyzed risk factors of postoperative restenosis in patients with cerebral artery stenosis stent implantation. Results Among 162 patients with cerebral artery stenosis stent implantation,31 cases had postoperative restenosis,and the restenosis rate was 19.14%.Age,diabetes mellitus,hypertension,hyperlipaemia and smoking had significant differences between restenosis group and non-restenosis group(P<0.05).Before operation,the levels of hs-CRP and IL-6 showed no significant difference(P>0.05),but decreased significantly at 6 months after operation(P<0.05),and the levels of hs-CRP and IL-6 of non-restenosis group decreased more significantly than those in restenosis group(P<0.05).Binary logistic multi-factor regression analysis results showed that hypertension,smoking and hs-CRP and IL-6 levels at 6 months after operation are risk factors of restenosis in patients with cerebral artery stenosis stent implantation. Conclusion Hypertension,smoking and hs-CRP and IL-6 levels at 6 months after operation are risk factors of restenosis in patients with cerebral artery stenosis stent implantation.Accordingly,measures can be taken to avoid or reduce rate of postoperative restenosis.
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