Dehn T C, Angell-James J E
Surgical Unit, St. Bartholomew's Hospital, West Smithfield, London, UK.
Br J Surg. 1987 Nov;74(11):997-1000. doi: 10.1002/bjs.1800741113.
In order to assess whether carotid endarterectomy had any long-term hypotensive effect, by altering the function of the carotid sinus baroreceptors, blood pressure and carotid sinus baroreceptor function were recorded in 25 patients undergoing carotid endarterectomy. No overall change in blood pressure was recorded 6 months after surgery. Sinus function was shown to decrease in 2 (8 per cent), to remain unchanged in 15 (60 per cent) and to increase in 8 (32 per cent) patients 6 months postoperatively. There was no relationship between changes in sinus function and changes in blood pressure over the 6 months period. Thus, carotid endarterectomy has no long-term hypotensive effect.
为了评估颈动脉内膜切除术是否具有任何长期降压作用，通过改变颈动脉窦压力感受器的功能，对25例行颈动脉内膜切除术的患者记录了血压和颈动脉窦压力感受器功能。术后6个月未记录到血压的总体变化。术后6个月，2例（8%）患者的窦功能下降，15例（60%）患者的窦功能保持不变，8例（32%）患者的窦功能增加。在这6个月期间，窦功能变化与血压变化之间没有关系。因此，颈动脉内膜切除术没有长期降压作用。
