颅内动脉瘤相关动眼神经麻痹的影响因素分析
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Analysis of The Influence Factors of Oculomotor Nerve Palsy which is Related to Intracranial
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    摘要:

    目的 探讨颅内动脉瘤相关动眼神经麻痹的影响因素。方法 回顾性研究162例颅内动脉瘤患者的临床资料。记录患者的性别、年龄、有无动眼神经麻痹、动眼神经麻痹程度、瘤体侧别、瘤体位置、瘤体直径、发病至就诊时间以及是否患高血压等全身疾病。分别采用单因素及多因素分析方法对动眼神经麻痹的影响因素进行统计分析,二类资料做卡方检验,等级资料做非参数检验。应用受试者工作特征曲线(ROC曲线)计算影响动眼神经麻痹的颅内动脉瘤直径的临界值。多因素做Logistic多元回归分析。结果 162例颅内动脉瘤患者中发生动眼神经麻痹患者40例(24.7%),其中完全动眼神经麻痹24例(14.8%),部分动眼神经麻痹16例(9.9%)。单因素分析结果显示性别、瘤体位置和瘤体直径对颅内动脉瘤相关动眼神经麻痹发生的影响,差异有统计学意义(P<0.05);瘤体位置、发病至就诊时间与颅内动脉瘤相关动眼神经麻痹程度的相关性,差异有统计学意义(P<0.05)。多因素分析显示,瘤体位置位于后交通动脉(OR=10.32,P<0.01)、瘤体直径≥6mm(OR=10.2,P<0.01)为颅内动脉瘤相关动眼神经麻痹发生的影响因素;发病至就诊时间(OR=4.92,P=0.04)与颅内动脉瘤相关动眼神经麻痹程度有相关性。结论 颅内动脉瘤位置、直径是动眼神经麻痹发生的影响因素,发病至就诊时间与动眼神经麻痹程度相关。

    Abstract:

    Objective To investigate the influencing factors of the OMNP related to intracranial aneurysm.Method This is a retrospective study which analyze the clinical data of 162 patients with intracranial aneurysm. Recording sex, age of patients and other clinical data, including have OMNPor not , the degree of OMNP, side of aneurysm, site of aneurysm,diameter of aneurysm, time from symptom onset to treatment and so on. Employing single factor and multiple factor analysis respectively to analyze the influencing factors of OMNP,secondary data adopted chi-square test and ranked data adopted non-parametric test. Using ROC curve to calculate the critical value of the diameter of intracranial aneurysm which affects OMNP. Multiple factors adopted logistic multivariate regression analysis.Results Among 162 cases of intracranial aneurysm, 40 cases (24.7%) had OMNP, including 24 cases (14.8%) of complete OMNPand 16cases(9.9%) of incomplete OMNP. The univariate analysis showed that sex,site of aneurysm and size of aneurysm were significantly different between patients with OMNP and patients without OMNP which is related to intracranial aneurysm(P<0.05)Site of aneurysm and time from symptom onset to treatment were significantly different between patients with complete OMNP and patients with incomplete OMNP which is related to intracranial aneurysm(P<0.05). The logistic regression analysis showed that posterior communicating aneurysms (OR=10.32,P<0.01) and the diameter of aneurysm over 6 millieter (OR=10.2,P<0.01) were influence factors of OMNP. There are correlations between time from symptom onset to treatment(OR=4.92,P=0.04) and the degree of OMNP. Conclusions The site and the size of intracranial aneurysm were influence factors for OMNP. There are correlations between time from symptom onset to treatment and the degree of OMNP.

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崔元玥.颅内动脉瘤相关动眼神经麻痹的影响因素分析[J].中华老年多器官疾病杂志,2020,19(4):

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  • 收稿日期:2019-07-22
  • 最后修改日期:2019-10-23
  • 录用日期:2019-11-01
  • 在线发布日期: 2020-05-08
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