脑血管造影术后假性动脉瘤形成的多因素Logistic回归分析-海南医学.PDFVIP

Hainan Med J, Nov. 2016, Vol. 27, No. 22 doi:10.3969/j.issn.1003-6350.2016.22.017 ·论 著· 脑血管造影术后假性动脉瘤形成的多因素Logistic 回归分析 王成谋，汪健，郑永强，秦碧勇 (湖北医药学院附属人民医院神经内科，湖北 十堰 442000) 【摘要】 目的 探讨脑血管造影术后假性动脉瘤形成的危险因素及防治。方法 回顾性分析2010 年1月至 2015 年12月我院脑血管介入患者1 128例的临床资料，其中28 例脑血管造影术后假性动脉瘤形成，按1:2 随机选择 无假性动脉瘤患者56 例的临床资料，对可能造成假性动脉瘤的因素进行单因素分析与Logistic 回归分析。结果 脑 血管造影术后假性动脉瘤发生率为2.48% (28/1 128) 。单因素分析共筛选出年龄、性别、体质量指数、高血压病、双 重抗聚、鞘管直径、止血方法、过早活动等8个因素与假性动脉瘤形成有关，经过Logistic 回归分析确定，性别、体质量 指数、高血压病、双重抗聚、止血方法、过早活动为假性动脉瘤形成的危险因素,其OR 值分别为3.578、3.275、4.531、 3.265、8.698、4.873。结论 控制围术期血压、减少早期活动以及采用确切的止血方法可减少假性动脉瘤的发生。 【关键词】 脑血管造影；假性动脉瘤；危险因素；Logistic 回归分析 【中图分类号】R816.1 【文献标识码】A 【文章编号】 1003—6350（2016 ）22—3661—03 Multivariate logistic regression analysis of pseudoaneurysm formation after cerebral angiography. WANG Cheng-mou, WANG Jian, ZHENG Yong-qiang, QIN Bi-yong. Department of Neurology, Renmin Hospital Affiliated to Hubei University of Medicine, Shiyan 442000, Hubei, CHINA 【Abstract 】 Objective To investigate the risk factors and prevention therapy of pseudoaneurysm formation af- ter cerebral angiography. Methods A retrospective analysis was performed on the clinical data of 1,128 cases of cere- bral angiography from January 2010 to December 2015 in our hospital, including 28 cases of pseudoaneurysm forma- tion after cerebral angiography. Fifty-six cases without pseudoaneurysm after cerebral angiography were randomly se- lected at 1: 2 ratio for analysis. Univariate analysis and logistic regression analysis were performed for the factors that may caused pseudoaneurysm. Results The rate of pseudoaneurysm formation after cerebral angiography was 2.48% (28/1,128). Univariate analysis revealed eight factors associ