临床神经外科杂志2025，Vol.22Issue(2)：210-214,5.DOI:10.3969/j.issn.1672-7770.2025.02.015
糖尿病与颈动脉内膜剥脱术后并发症发生率的相关性分析
Correlation analysis between diabetes mellitus and the incidence of complications after carotid endarterectomy
摘要
Abstract
Objective To explore the correlation between diabetes and the incidence of complications after carotid endarterectomy(CEA).Methods A total of 370 patients who received CEA at Handan First Hospital and Xingtai People's Hospital from January 2012 to December 2022 were collected.According to whether diabetes mellitus is complicated or not,the subjects were divided into diabetic group and non-diabetic group.Diabetic group had 139 patients(37.6％),while 50 patients with diabetes mainly treated with insulin(36.0％),89 patients with diabetes treated only with oral hypoglycemic drugs(64.0％).Non-diabetic group had 231 patients(62.4％).Results Except for the high prevalence of dyslipidemia,coronary heart disease and peripheral vascular disease in patients with diabetes,the preoperative characteristics of other patients were similar.The incidence of postoperative cerebrovascular disease in diabetic patients(3.6％)was higher than that in non-diabetic patients(0.4％)(P=0.03).The incidence of postoperative heart failure in diabetic patients(5.8％)was higher than that in non-diabetic patients(1.3％)(P=0.023).The incidence of postoperative wound infection was 3.6％in diabetic patients and 0％in non-diabetic patients(P=0.007).There was no significant difference in fatal cardiac events,neurological events and mortality between the two groups(P＞0.05).The proportion of total post-operative complications in the diabetic group was more than twice as high as that in the non-diabetic group(20.1％vs 7.4％,P＜0.001).Conclusions Diabetes increases the surgical risk of CEA,but there is no significant increase in the risk of fatality.It is observed that patients only treated with oral hypoglycemic drugs have a higher incidence of post-operative complications than patients treated with insulin.关键词
颈动脉内膜剥脱术/糖尿病/术后并发症Key words
carotid endarterectomy/diabetes mellitus/post-operative complication分类
医药卫生引用本文复制引用
张鹏,王志强,王浩,张西科,商淑玲,冯青叶,兴辰,曹英肖..糖尿病与颈动脉内膜剥脱术后并发症发生率的相关性分析[J].临床神经外科杂志,2025,22(2):210-214,5.基金项目
河北省邢台市重点研发计划项目(2024ZC112) （2024ZC112）
