[1]张景伟 曹凤军.颈动脉内膜剥脱术对20例颈内动脉狭窄患者视力与持续注意功能的改善作用[J].卒中与神经疾病杂志,2019,26(01):73-76,81.[doi:10.3969/j.issn.1007-0478.2019.01.017]
　Zhang Jinwei,Cao Fengjun.Improvement effect of carotid endarteropathy on the visual acuity and continuous attention function in 20 patients with ischemic ophthalmopathy caused by internal carotid artery stenosis[J].Stroke and Nervous Diseases,2019,26(01):73-76,81.[doi:10.3969/j.issn.1007-0478.2019.01.017]
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颈动脉内膜剥脱术对20例颈内动脉狭窄患者视力与持续注意功能的改善作用()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第26卷
期数:
2019年01期
页码:
73-76,81
栏目:
论 著
出版日期:
2019-02-26

文章信息/Info

Title:
Improvement effect of carotid endarteropathy on the visual acuity and continuous attention function in 20 patients with ischemic ophthalmopathy caused by internal carotid artery stenosis
文章编号:
1007-0478(2019)01-0073-05
作者:
张景伟 曹凤军
274300 山东省单县中心医院
Author(s):
Zhang Jinwei; Cao Fengjun
Shanxian Central Hospital, Shanxian Heze Shandong 274300
关键词:
颈动脉内膜脱术 颈内动脉狭窄 缺血性眼病 视力 持续注意功能
Keywords:
Carotid endarteropathy Carotid artery stenosis Ischemic ophthalmopathy Visual acuity Continuous attention function
分类号:
R543.5
DOI:
10.3969/j.issn.1007-0478.2019.01.017
文献标志码:
A
摘要:
目的 探讨颈动脉内膜剥脱术(CEA)对20例颈内动脉狭窄致缺血性眼病患者视力与持续注意功能的改善作用。方法 选取2014年3月-2017年3月本院收治的颈内动脉狭窄致缺血性眼病患者40例,依据随机数字表法分为CEA组和颈动脉支架置入术(CAS)组,每组各20例,CEA组给予CEA治疗,CAS组给予CAS治疗,比较2组手术效果、并发症、视力、持续注意功能和眼动脉、视网膜中央动脉的血流动力学[收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)]。结果 CEA组残余狭窄率明显低于CAS组(P<0.05); CEA组和CAS组并发症发生率基本相同(P>0.05); CEA组和CAS组术后眼动脉、视网膜中央动脉的PSV、EDV明显高于术前,CEA组和CAS组术后眼动脉、视网膜中央动脉的RI、Log Mar最佳矫正视力和持续操作测试(CPT)的2、3位认错及遗漏数明显低于术前,CEA组术后眼动脉、视网膜中央动脉的PSV、EDV明显高于CAS组,CEA组术后眼动脉、视网膜中央动脉的RI和Log Mar最佳矫正视力和CPT的2、3位认错及遗漏数明显低于CAS组(P<0.05)。结论 CEA可有效改善颈内动脉狭窄致缺血性眼病患者动脉狭窄和眼动脉、视网膜中央动脉的血流动力学,有利于改善患者的视力与持续注意功能,且具有良好的安全性。
Abstract:
ObjectiveTo discuss the improvement effect of carotid endarteropathy(CEA)on the visual acuity and continuous attention function in 20 patients with ischemic ophthalmopathy caused by internal carotid artery stenosis.Methods 40 patients with ischemic ophthalmopathy caused by internal carotid artery stenosis were selected from March 2014 to March 2017 in our hospital, according to the random distribution, all patients were divided into CEA group(n=20)and carotid artery stenting(CAS)group(n=20), CEA group was received CEA treatment, CAS group was received CAS treatment, the complications, visual acuity, sustained attention function and ophthalmic artery and central retinal artery hemodynamics [peak systolic blood flow speed(PSV), end diastolic velocity(EDV)and resistance index(RI)] of two groups were compared.Results The residual stenosis rate of CEA group was significantly lower than that of CAS group(P<0.05).The complication rate of CEA group and CAS group were basically the same(P>0.05).The postoperative ophthalmic artery and central retinal artery PSV, EDV of CEA group and CAS group were significantly higher than those of the preoperative, the postoperative ophthalmic artery and central retinal artery in RI Log Mar, best corrected visual acuity and continuous performance test(CPT)2, 3 admit and omission number of CEA group and CAS group were significantly lower than those of the preoperative, the postoperative ophthalmic artery and central retinal artery PSV, EDV of CEA group were significantly higher than those of CAS group, the postoperative ophthalmic artery and central retinal artery in RI Log Mar, best corrected visual acuity and CPT 2, 3 admit and omission number of CEA group were significantly lower than those of CAS group(P<0.05).Conclusion CEA could effectively improve the hemodynamics of artery stenosis and ophthalmic artery and central retinal artery in patients with ischemic ophthalmopathy caused by internal carotid artery stenosis, which was beneficial to improve the vision and continuous attention function of patients, and it had good safety.

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备注/Memo

备注/Memo:
作者单位:274300 山东省单县中心医院
更新日期/Last Update: 2019-02-20