[1]邹志鹏　杨　海　夏军勇　张化明　张　华　魏　恒　马江红.行血管内治疗的高龄颅内动脉瘤患者脑血管痉挛的临床分析[J].中国临床神经外科杂志,2015,(07):401-402，442.[doi:10.13798/j.issn.1009-153X.2015.07.006]
　ZOU Zhi-peng,YANG Hai,XIA Jun-yong,et al.Clinical analysis of symptomatic cerebral vasospasm after endovascular treatment of ruptured cerebral aneurysms in patients of 70 and over 70 years[J].,2015,(07):401-402，442.[doi:10.13798/j.issn.1009-153X.2015.07.006]
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行血管内治疗的高龄颅内动脉瘤患者脑血管痉挛的临床分析()
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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07期
页码:
401-402，442
栏目:
论著
出版日期:
2015-07-30

文章信息/Info

Title:
Clinical analysis of symptomatic cerebral vasospasm after endovascular treatment of ruptured cerebral aneurysms in patients of 70 and over 70 years
文章编号:
1009-153X（2015）07-0401-02
作者:
邹志鹏　杨　海　夏军勇　张化明　张　华　魏　恒　马江红
430080 武汉，华润武钢总医院神经外科
Author(s):
ZOU Zhi-peng;  YANG Hai;  XIA Jun-yong;  ZHANG Hua-ming;  ZHAN Hua;  WEI Heng;  MA Jiang-hong.
Department of Neurosurgery, The Wuhan Iron and Steel Company General Hospital, Wuhan 430080, China
关键词:
动脉瘤性蛛网膜下腔出血; 血管内治疗; 脑血管痉挛; 老年人
Keywords:
Aneurysmal subarachnoid hemorrhage;  Endvascular therapy;  Symptomatic cerebral vasospasm
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2015.07.006
文献标志码:
A
摘要:
目的 评估70岁以上老年人动脉瘤性蛛网膜下腔出血（aSAH）患者行血管内治疗发生症状性脑血管痉挛（SCVS）的临床治疗效果。方法 44例aSHA患者分为两组：低龄组（<70岁，32例）和高龄组（≥70岁，12例）。分析两组患者的临床特征、SCVS的发生率、改良Rankin量表（mRS）评分、以及mRS评分为3~6分患者的SCVS发生率。结果 高龄组患者的SCVS发生率（58.3%）显著高于低龄组（12.5%；P<0.05）。对于mrs评分为3~6分患者，高龄组scvs发生率（58.3%）显著高于低龄组（17.4%；>P<0.05）。>结论 对于行血管内治疗的aSAH患者，≥70岁患者更易发生SCVS，从而导致更差的临床疗效和预后。
Abstract:
Objective To explore the curative effect on symptomatic cerebral vasospasm (SCVS) after aneurysmal subarachnoid hemorrhage (aSAH) in patients of 70 and over 70 years who underwent the endovascular therapy. Methods Forty-four patients with ruptured intracranial aneurysms were divided into two groups according to patient age, i.e. group A, in which there were 32 patients under 70 years of age, and group B, there were 12 patients of 70 and over 70 years. The clinical characteristics, incidence of SCVS and modified Rankin scale (mRS) scores were analyzed and compared between both the groups. Results The incidence of SVCS (58.3%, 7/12) was significantly higher in group B than that (12.5%, 4/32) in group A (PP

参考文献/References:

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更新日期/Last Update: 2015-07-30