The Treatment Of Low Frequency Pulsed Magnetic Fields On Lower Limb Arteriosclerosis Occlusion Syndrome

Objective:Discuss carotid endarterectomy (CEA) in the treatment of carotid stenosis on several controversial aspect of standardability questions.Methods:Collect the clinical data of63cases of CEA surgery in the fourth affiliated hospital of xinjiang medical university, process retrospective analysis.Respectively in timing of operation.shunting routine,anesthetic ways,patch plasty,by these several research factors into four team. Inspection groups respectively to observe index (mainly for postoperative complications, and long-term patency rate) whether there are statistically significant. Main observation indexes and clinical use of Logistic regression analysis between factors, observe the risk of clinical factors.Results:1. In the form of table to describe the preliminary results of various clinical factors and postoperative results.2. After the grouping study. There was no significant difference on postoperative observation index of different surgical timing CEA (P>0.05). The operative risk of early surgery is not higher than delayed. There was no significant difference in postoperative observation index of CEA surgery under different anesthesia(P>0.05). Two kinds of anesthesia is both safe. There was significant difference in clamp time,hyperperfusion syndrome of Whether to place shunting in CEA surgery(P<0.05). There was significant difference in restenosis after surgery whether to place the patch in CEA surgery(P<0.05). Logistic regression analysis showed the degree of stenosis and postoperative blood pressure fluctuation is the CEA postoperative stroke risk factors (P<0.05); Not place shunting, the degree of stenosis and postoperative flow blood pressure fluctuations is a risk factor for postoperative high perfusion syndrome (P<0.05); Not place the patch is a risk factor for the long-term restenosis (P<0.05).Conclusion:CEA operation must be strictly evaluated the patients on the timing, both anesthesia ways is safe, shunting placement to improve the operation safety, the patch shaping to reduce long-term restenosis. The CEA surgical treatment of carotid stenosis is yet to be normalized.