2020 年第 9 期 第 15 卷

颈动脉手术围术期血压监测管理的研究进展

Research progress of perioperative blood pressure monitoring and management in carotid surgery

作者：韩奕芃罗富强唐星瑶缪鹏

英文作者：Han Yipeng Luo Fuqiang Tang Xingyao Miao Peng

单位：首都医科大学附属北京同仁医院血管外科100730 

英文单位：Department of Vascular Surgery Beijing Tongren Hospital Capital Medical University Beijing 100730 China

关键词：颈动脉内膜剥脱术；颈动脉支架血管成形术；血压 

英文关键词：Carotidendarterectomy；Carotidarterystenting；Bloodpressure

• 摘要：

• 颈动脉狭窄是一种常见血管疾病且是缺血性脑卒中发病原因之一，严重威胁中老年人群的生存健康及生活质量。颈动脉内膜剥脱术与颈动脉支架血管成形术是目前治疗颈动脉狭窄的两种主流手术，围术期常出现因颈动脉压力感受器失衡、脑高灌注综合征或医源性操作等多方面因素导致的循环系统失衡。良好的围术期血压管理对于颈动脉外科治疗的成败及患者预后至关重要，可以有效改善患者脑缺血症状，降低患者术后脑卒中的发生率。

• Stenosis of the extracranial carotid artery is known to be responsible for ischemic strokes and it threatens the life quality and the survial rate of elder citizens. Carotid artery surgery is the best secondary prevention for reducing the risk of recurrent stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are two current mainstream procedures. Perioperative blood pressure management is of pivotal importance in the success of the procedure and it would considerably affect the prognosis of the patient as well. This review aims to present robust theorical anchors and recommendations in practical perioperative hemodynamic management strategy to improve the perioperative management and prognosis of patients undergoing carotid artery surgery.