基于Co×模型的颅内动脉瘤血管内介入疗效及预后不良的影响因素分析

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[Abstract]ObjectiveTo explore the efectof endovascular interventional therapyforintracranial aneurysmsand theinfluencingfactorsofpoorprognosis.MethodsAtotalof9Oelderlypatientswhounderwentinterventionaltherapyforaneurysmsin theDepartmentofNeurosurgery，theFirstAfliatedHospitalwithanjingMedicalUniversityfromJanuary221toDecember223 wereselectedastheresearchsubjectsAcording tothedegreeofembolizationinintracranialaneuysm，theywredivdedntothe completeembolizationgroup（6lcases）andtheincompleteembolizationgroup（29cases）.Theywerealsodividedintothegood prognosisgroup（55cases）andthepoorprognosis group（35cases）basedonthemodifiedRankinScalescore.AllpatientsreceivedendovasularitervetioalterapyforintracranialaeurysmsUnivarateaalysisaspeforedtodentifyteiskfactosfor incompleteembolizationandpoorprognosisinpatients，respectivelyTheindicatorswithstatisticallsignificantdiffrences（ P< 0.05）weresubjectedtomultivariateCoxregresionanalysis toexploretheriskfactorsinfluencingtreatmenteficacyandpoorprognosis.ResultsComparisonsofage，smoking history，hypertension，diabetes melltus，hyperlipidemia，aneurysmsize，neuym type，Hunt-Hsgade，andpresenceofhmatomaamongpatientswithdiferenttreatmentefectsandprognosesshowedstatitically significant differences（ P<0. 05 ）.Multivariate Cox regression analysis indicated that age，smoking history，hypertension，diabetes melitus，yperlipidemiaaneurymsizneurymtype，Hunt-Hessgrade，ndpresenceofmatomawereallindepedntflue cing factors for treatment effects and poor prognosis （ P<0.05 ）.Conclusion Before and after endovascular interventional therapy forintracranialaneurysms，corespondingnursingmeasuressouldbepromptlyimplementedtargetingtheriskfactorstorducethe risk of adverse prognosis in patients.

[Keywords] Intracranial aneurysm；Interventional therapy；Poor prognosis；Risk factors

颅内动脉瘤是一种严重的血管疾病，若不及时治疗可能导致严重后果，如颅内出血[1]。（剩余9037字）