有症状颈动脉狭窄的治疗策略  

Treatment strategies of symptomatic carotid stenosis

作　　者：陈蓓蕾[1,2] 徐运[2] 徐俊[1] 李晓波[1] 

机构地区：[1]江苏省苏北人民医院神经内科,扬州225009 [2]南京医科大学附属鼓楼医院神经内科,210008

出　　处：《国际脑血管病杂志》2014年第10期756-760,共5页International Journal of Cerebrovascular Diseases

基　　金：江苏省卫生厅资助项目（YZ201021）;扬州市科技局资助项目（YZ2011102）

摘　　要：有症状颈动脉狭窄与缺血性卒中密切相关，其治疗策略包括危险因素控制、药物治疗以及血运重建术。文章对近年来与有症状颈动脉狭窄相关的抗血小板治疗、降压治疗、降脂治疗、颈动脉内膜切除术、支架置入术等治疗手段的临床研究以及指南推荐的治疗策略进行了回顾和总结。Symptomatic carotid stenosis is closely associated with ischemic stroke, its treatment strategies include risk factor control, medical therapy, and revascularization. This article reviews and summarizes the clinical research of treatment methods in recent years, such as symptomatic carotid stenosis related antiphtelet therapy, antihypertensive treatment, lipid-lowering therapy, carotid endarterectomy and stenting, as well as the treatment strategies recommended by the guidelines.

关 键 词：颈动脉狭窄 颈动脉内膜切除术 血管成形术 支架 抗高血压药 抗血小板聚集药 羟甲基戊二酰基COA还原酶抑制剂 卒中 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]