[1]张晓军　高乃康.微血管减压术对桥小脑角区颅神经疾病合并高血压患者术后血压的影响[J].中国临床神经外科杂志,2015,(04):219-221.[doi:10.13798/j.issn.1009-153X.2015.04.009]
　ZHANG Xiao-jun,GAO Nai-kang..Effects of microvascular decompression on blood pressure in hypertensive patients with cranial nerve disease[J].,2015,(04):219-221.[doi:10.13798/j.issn.1009-153X.2015.04.009]
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微血管减压术对桥小脑角区颅神经疾病合并高血压患者术后血压的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年04期
页码:
219-221
栏目:
论著
出版日期:
2015-04-30

文章信息/Info

Title:
Effects of microvascular decompression on blood pressure in hypertensive patients with cranial nerve disease
文章编号:
1009-153X（2015）04-0219-03
作者:
张晓军　高乃康
010017 呼和浩特，内蒙古自治区人民医院神经外科（张晓军）；
010010 呼呼浩特，内蒙古医科大学附属医院神经外科（高乃康）
Author(s):
ZHANG Xiao-jun;  GAO Nai-kang.
Department of Neurosurgery, Inner Mongolia Autonomous Region, Huhehot 010017, China
关键词:
桥小脑角区颅神经疾病; 乙状窦后入路; 微血管解压术;  高血压
Keywords:
Trigeminal neuralgia;  Facial spasm;  Glossopharyngeal neuralgia;  Microvascular decompression;  Primary hypertension
分类号:
R745.1;R651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.04.009
文献标志码:
A
摘要:
目的 探讨微血管减压术（MVD）对桥小脑角区颅神经疾病合并高血压患者术后血压的影响。方法 2010年11月至2013年12月收治桥小脑角区颅神经疾病患者合并高血压患者92例（颅神经疾病位于左侧59例、右侧33例；三叉神经痛14例、面肌痉挛28例、舌咽神经痛50例），应用乙状窦后入路微血管减压术治疗。结果 92例患者中，术后高血压缓解59例（左侧减压手术53例，右侧减压手术6例），其中脱离高血压用药34例，均为左侧减压手术患者；术后高血压无明显变化33例。总有效率为64.13%（59/92），其中左侧减压手术有效率为89.83%（53/59），右侧减压手术有效率为18.18%（6/33）；左侧减压手术治愈率为57.63%（34/59）。左侧颅神经疾病患者术后血压较术前明显降低（P<0.05），而右侧颅神经疾病患者术后血压无明显变化（>P>0.05）。结论 对左侧桥小脑角区颅神经疾病患者合并高血压患者，微血管减压术具有一定的降血压效果。
Abstract:
Objective To explore the effect of microvascular decompression for the cranial nerve diseases on blood pressure in the primary hypertension patients with cranial nerve disease. Methods Of 92 primary hypertension patients with cranial nerve disease, 13 suffered from left trigeminal neuralgia (TN), 15 right TN, 18 left facial spasm, 10 right facial spasm, 28 left glossopharyngeal neuralgia (GPN) and 8 left GPN. All the patients underwent microvascular decompression through retrosigmoid keyhole approach for TN, facial spasm and GPN from November, 2010 to December, 2013. The blood pressure was determined before the decompression, 5 days after the decompression and during following up from 2 to 15 months in all the patients. Results The blood pressure including systolic blood pressure and diastolic pressure were significantly lower 5 days after the operation and during the following up than those before the operation in 59 patients with left cranial nerve disease undergoing microvascular decompression (P

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备注/Memo

备注/Memo:
基金项目：内蒙古医科大学附属医院重大课题（NYFYZD2006003）
通讯作者：高乃康，E-mail：gaonaikang@163.com
更新日期/Last Update: 2016-04-25