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

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【中图分类号】R651；R743 【文献标志码】B 【文章编号】 1672-7770（2025）02-0210-05

Abstract：Objective To explore the correlation between diabetes and the incidence of complications after carotid endarterectomy（CEA）.MethodsA total of37O patientswhoreceived CEAat HandanFirst Hospital and Xingtai People's Hospital from January 2012 to December 2022 were colected.According to whether diabetes mellitus is complicatedor not，the subjects were divided into diabetic groupand non-diabetic group. Diabetic group had 139 patients （37.6% ），while 5O patientswith 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% ）.ResultsExcept 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 （ 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 diference infatal cardiac events，neurological eventsand mortality between thetwo groups（ P> 0.05）．The proportion of total post-operativecomplications in the diabetic group was morethan twice as high as that in the non-diabetic group（ 20.1% Us 7.4% ， P<0.001 ）.ConclusionsDiabetes increases the surgical risk of CEA，but there isnosignificant increase intherisk offatality.Itisobserved that patientsonly treated with oral hypoglycemic drugs have a higher incidence of post-operative complications than patients treated with insulin.

Keywords：carotid endarterectomy；diabetes mellitus；post-operative complication

颈动脉狭窄是最常见的神经外科血管性疾病之一，且发病率呈上升趋势。（剩余10205字）