Effect of eversion carotid endarterectomy on cognitive function in elderly patients with carotid artery stenosis
10.3969/j.issn.1009-0126.2023.10.012
- VernacularTitle:外翻式颈内动脉内膜斑块切除术对老年颈动脉狭窄患者认知功能的影响
- Author:
Guangliang DIAO
1
;
Wei LI
;
Lihong DUAN
;
Hongbin SU
;
Bingxin LIU
;
Shuguang GUO
;
Cunping YIN
Author Information
1. 650032 昆明,解放军联勤保障部队第九二○医院血管外科
- Keywords:
carotid stenosis;
cognition;
atherectomy;
eversion carotid endarterectomy
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2023;25(10):1056-1059
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of eversion carotid endarterectomy(eCEA)on the cog-nitive function in elderly carotid artery stenosis patients with different ages.Methods A total of 56 elderly patients undergoing eCEA in Department of Vascular Surgery of No.920 Hospital of Joint Logistics Support Force from May 2019 to May 2022 were enrolled and divided into a 60-69 year old group(31 cases)and a 70-80 year old group(25 cases).Mini-mental state examination(MMSE)Scale was used to analyze the patients within 1 week before surgery and 1 and 6 months after surgery.Results In the 60-69 years old group,their MMSE scores in 1 and 6 months after surgery were significantly higher than those before surgery(24.71±3.67 vs 23.52±3.70,P＜0.05;25.48±3.19 vs 23.52±3.70,P＜0.01).For the 70-80 year old group,the MMSE score in 6 months after surgery was obviously higher than that before surgery and that in 1 month after sur-gery(25.44±3.42 vs 23.76±3.81,P＜0.01;25.44±3.42 vs 23.90±3.65,P＜0.01).The improve-ment of MMSE score between 1 month after surgery and before surgery was notably more obvi-ous in the 60-69 year old group than the 70-80 year old group,but the improvement between 6 months and 1 month after surgery was statistically declined in the 60-69 year old group than the 70-80 year old group(P＜0.05).Conclusion eCEA can significantly improve cognitive function in elderly patients with carotid artery stenosis,and obvious efficacy is observed in the early stage in the 60-69 years old patients.
