脑血管造影术后血管痉挛的分析及预防措施

目的 探索脑血管造影术后血管痉挛的相关因素及对应的预防措施.方法 选择2010年1月～2011年12月某院行脑血管造影检查的患者为研究对象,共计80例.对照分析不同因素情况下血管痉挛发生率,多元回归分析血管痉挛发生率与相关因素的相关性.结果 技术操作熟练者发生率显著低于技术操作不熟练者(P＜0.05),材料选择适合者发生率显著低于材料选择不适合者(P＜0.05),操作时间长者发生率显著高于操作时间短者(P＜0.05),存在特殊疾病者发生率显著高于不存在特殊疾病者(P＜0.05),应用尿激酶者发生率显著低于未应用尿激酶者(P/0.05),应用尼莫地平者发生率显著低于未应用尼莫地平者(P＜0.05).血管痉挛发生率与技术操作、材料选择、尿激酶及尼莫地平呈负相关性,与操作时间及特殊疾病呈正相关性,差异有统计学意义(P＜0.05).结论 脑血管造影术后发生血管痉挛的相关因素有:技术操作、材料选择、操作时间、特殊疾病、尿激酶及尼莫地平应用等,应在上述环境强化对应措施,以降低术后脑血管痉挛的发生率.

Analysis and preventive measures for Cerebral angiography after vascular spasm

OBJECTIVE To explore cerebral angiography after vascular spasm associated factors and corresponding preventive measures. METHODS From January 2010 - December 2011, patients with cerebral angiography examination were selected as the research objects, and a total of 80 cases were collected. Comparative analysis was taken to analyze the vasospasm incidence , multivariate regression analysis analyzed the incidence of vasospasm and related factors. RESULTS The incidence of skilled technical operations were significantly lower than the technical operation is not skilled (P﹤0.05), material selection for inci- dence was significantly lower than the material selection is not suitable for persons (P﹤0.05), and the operation time was sig- nificantly higher than that of elderly incidence of short operation time (P﹤0.05). There is a special disease incidence was sig- nificantly higher than that of there is no special disease (P﹤0.05), urokinase incidence was significantly lower than that with- out application of urokinase person (P﹤0.05), and application of nimodipine incidence was significantly lower than that with- out application of nimodipine (P ﹤ 0.05). The incidences of vasospasm and technical operation, material selection, urokinase and nimodipine were negative correlation, and the operation time and special disease were significantly positively correlated (P ﹤0.05). CONCLUSION The related factors of cerebral angiography after occurrence of vasospasm were technology, material selection, operation time, special disease, urokinase and nimodipine application. We should strengthen the corresponding mea- sures for environment, so as to reduce the incidence of postoperative cerebral vasospasm.