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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Associated with Ischemic Stroke Risk Reduction after Endoscopic Thoracic Sympathectomy for Palmar Sweating
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Associated with Ischemic Stroke Risk Reduction after Endoscopic Thoracic Sympathectomy for Palmar Sweating

机译：与跖逆转术后跖吐过后的缺血性卒中风险相关联

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Background: Endoscopic thoracic sympathectomy (ETS) was performed to cure palmar hyperhidrosis (PH). After ETS, blood pressure decreased, and cerebral flow velocity increased within 1 month. However, no studies distinguish between subsequent ischemic and hemorrhagic stroke following ETS for PH. The association between stroke type and PH after ETS must be evaluated. Methods: We surveyed newly diagnosed patients with PH using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic code 780.8 from the Taiwan Longitudinal National Health Insurance Database. We matched patients with PH who underwent ETS (procedure code 05.29) and without surgery in the database between 2000 and 2010. We defined events as ischemic stroke (ICD-9-CM codes from 433 to 437) or hemorrhagic stroke (ICD-9-CM codes from 430 to 432). Patients were followed up until the first event or December 31, 2010. Risk factors for ischemic stroke and hemorrhagic stroke were analyzed using multivariable Cox proportional hazard regression. Results: The incidence of ischemic stroke was significantly lower in patients who underwent ETS (.22%) than in patients without surgery (.65%). The patients with PH who received ETS exhibited a reduced risk of ischemic stroke (adjusted hazard ratio [FIR] .3; 95% confidence interval [CI] .12-.77). ETS treatment was not associated with a reduction in hemorrhagic stroke (adjusted HR .81; 95% CI .22-3; P = .755). Conclusions: ETS in patients with PH was associated with reduced subsequent ischemic stroke risk. This additional ischemic stroke preventive effect should encourage health-care supporters to perform ETS in patients with severe PH.
机译：背景：进行内窥镜胸部交感神经切除术（ETE）以治愈Palmar HyperHidrosis（pH）。 ETS后，血压降低，脑流速在1个月内增加。然而，在ETS的后续缺血性和出血性中风中没有任何研究区分为pH。必须评估笔划类型和pH之间的关联。方法：通过国际疾病分类，第九次修订，临床改装（ICD-9-CM）诊断代码780.8从台湾纵向国家健康保险数据库中调查了新诊断的pH值。我们匹配2000年至2010年间在数据库中接受ETS（程序代码05.29）和没有手术的患者。我们将事件定义为缺血性卒中（ICD-9-CM代码，从433至437次）或出血性中风（ICD-9- CM代码从430到432）。随访患者直到2010年的第一次或12月31日。使用多变量Cox比例危害回归分析缺血性卒中和出血性中风的危险因素。结果：缺血性卒中的发生率在患有ETS（0.22％）的患者中显着低于没有手术的患者（.65％）。受试者的pH值患者表现出降低缺血性卒中风险（调整后危险比[FIR] .3; 95％置信区间[CI] .12-.77）。 ETS治疗与出血性卒中的减少无关（调节HR .81; 95％CI.22-3; P = .755）。结论：pH值患者的ETS与随后的缺血性卒中风险降低有关。这种额外的缺血性卒中预防效果应该鼓励医疗保健支持者在患有严重pH的患者中进行ETS。

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