脑血管病介入治疗后动脉鞘管拔管时间与血管并发症

Artery Sheath Catheter Removal Time and Vascular Complications after Interventional Therapy of Cerebrovascular Disease

目的 通过比较脑血管病介入治疗术后不同时间内拔除动脉鞘管对术后并发症的影响,旨在减少脑血管病介入治疗患者的术后血管并发症,为脑血管病介入治疗术后动脉鞘管拔管时间提供临床依据。方法 根据病情、术后使用肝素情况将147例行脑血管病介入治疗的患者分别与于术后〈1 h拔除动脉鞘管47例（A组）;术后留置4-6 h内拔除动脉鞘管49例（B组）;术后留置7-24 h内拔除动脉鞘管51例（C组）,比较三组患者术后并发症情况。结果 A组未出现术后血管并发症,B组发生术后血管并发症8例,C组发生术后血管并发症12例。结论 脑血管病介入治疗术后,结合病情尽早拔除动脉鞘管,可以预防和减少血管并发症的发生。

Objective By comparing the effects of artery sheath catheter at different time on postoperative complications after interventional therapy of cerebrovascular disease, we aim to reduce the postoperative complications of interventional therapy of cerebrovascular disease and provide clinical reference on artery sheath catheter removal time. Methods According to patients＇condition and administration dosage of heprain, 147 patients subjected to interventional therapy were divided into three groups. In Group A of 47 patients, artery sheath catheter was removed immediately after interventional therapy, while in Group B of 49 patients, it was removed 4 6 h after interventional therapy, and in Group C of 51 patients, it was removed 7 -24 h after interventional therapy. The incidence of postoperative complications in three groups was compared. Results No postoperative complication occurred in Group A, while in Group B, postoperative complications occurred in 8 cases （P 〈0. 05） , and in Group C, postoperative complications occurred in 12 cases （P 〈 0. 05）. Conclusions After interventional therapy of cerebrovascular disease, immediate removal of artery sheath catheter could prevent and reduce the occurrence of postoperative complications.