颈动脉内膜剥脱治疗亚急性脑梗死的疗效观察  

Efficacy observation of carotid endarterectomy in treatment of subacute cerebral infarction

作　　者：徐力[1] 郑一科[1] 方水桥 戚进聪 

机构地区：[1]广东省湛江中心人民医院神经外二科,广东湛江524037

出　　处：《中国现代医生》2015年第2期39-40,43,共3页China Modern Doctor

摘　　要：目的探讨颈动脉内膜剥脱对亚急性脑梗死患者的临床治疗效果。方法将来我院诊治的60例患者随机分为两组。对照组行保守治疗,实验组采用颈动脉内膜剥脱治疗,比较两组的治疗效果。结果实验组总有效率达93.3%,显著高于对照组(80.0%),差异具有统计学意义(P<0.05)。治疗后两组PT、TT、FIB比较,差异不显著(P>0.05);实验组治疗后APTT(27.9±2.4)s,低于对照组(30.4±6.8)s,差异显著(P<0.05);实验组的不良反应发生率为20.0%,低于对照组(53.3%),差异显著(P<0.05)。结论亚急性脑梗死发病率较高,临床上采用颈动脉内膜剥脱治疗能够提高临床治疗效果,降低并发症发生率,值得推广使用。Objective To investigate the clinical efficacy of carotid endarterectomy in treatment of patients with suba-cute cerebral infarction. Methods Sixty patients diagnosed and treated in our hospital were analyzed and randomly di-vided into two groups. The control group was given conservative treatment and the experimental group was given carotid endarterectomy treatment. The treatment effects of the two groups were compared. Results The treatment effects were ideal for 93.3% of the experimental group, which was higher than that of the control group （80.0%） （P〈0.05）; After the treatment, two groups were not significantly different in indicators such as PT, TT and FIB （P〉0.05）; After treatment, APTT of the experimental group was （27.9±2.4） seconds, which was lower than that of the control group（30.4±6.8） sec-onds（P〈0.05）; The incidence of surgical adverse reactions of the experimental group was 20.0%, which was lower than that of the control group （53.3%）（P〈0.05）. Conclusion The incidence of subacute cerebral infarction is relatively high. The clinical application of carotid endarterectomy shows good treatment effects, can improve clinical treatment effects and reduce the incidence of complications, thereby worthy of promotion and application.

关 键 词：亚急性脑梗死 颈动脉内膜剥脱 临床效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]