【摘要】 目的对颈动脉支架术后血流动力学损害的危险因素进行Logistic回归分析。方法对在我院行颈动脉支架术的158例患者的临床资料展开回顾性分析,统计血流动力学损害的发生情况,分析危险因素。结果本组患者中血流动力学损害发生率为26.58%(42例),单因素和Logistic回归分析结果显示,发生组中年龄>60岁、急性脑卒中、糖尿病、高血压、高脂血症、冠心病、病变累及血管窦部、钙化斑块的占比均高于未发生组(P<0.05),均为独立危险因素;发生组溃疡性斑块的占比低于未发生组(P<0.05),为保护性因素。结论颈动脉支架术后血流动力学损害的危险因素较多,应当实施针对性预防措施。更多还原

【Abstract】 Objective To carry out Logistic regression analysis of risk factors for hemodynamic damage after carotid artery stenting. Methods The clinical data of 158 patients undergoing carotid artery stenting in our hospital were analyzed retrospectively, the occurrence of hemodynamic damage and the risk factors were counted and analyzed. Results The incidence of hemodynamic damage in this group of patients was 26.58%(42 cases). Univariate and Logistic regression analysis showed that the proportion of age more than 60 years, acute stroke, diabetes, hypertension, hyperlipidemia, coronary heart disease, vascular lesions involving the antrum and calcified plaque in the occurrence group were higher than those in the non-occurrence group(P <0.05), which were independent risk factors; the proportion of ulcerative plaques in the occurrence group was lower than that in the non-occurrence group(P<0.05), which was a protective factor. Conclusion There are many risk factors for hemodynamic damage after carotid artery stenting, and targeted preventive measures should be taken.更多还原