介入技术治疗缺血性脑血管疾病的临床疗效  

Clinical efficacy of interventional therapy for ischemic cerebrovascular diseases

作　　者：张明宇[1] 周杨[2] 李欣欣[2] 

机构地区：[1]牡丹江医学院附属二院神经外科,黑龙江牡丹江157001 [2]牡丹江医学院附属二院超声科,黑龙江牡丹江157001

出　　处：《中国现代医生》2016年第13期98-100,104,共4页China Modern Doctor

摘　　要：目的 探讨介入技术治疗缺血性脑血管疾病的临床疗效。方法 选择2013年1月～2014年12月在我院治疗的缺血性脑血管病患者158例的临床资料进行回顾性分析。其中71例采用介入治疗为介入组,87例采用单纯药物治疗为对照组。比较两组的临床疗效。结果 介入组在治疗3 d后狭窄血管Vs较治疗前显著下降,差异有高度统计学意义（P〈0.01）,并且在治疗12个月时维持在治疗后3 d相似的水平,差异无统计学意义（P〉0.05）。两组间比较,介入组在治疗后3 d及治疗后12个月,狭窄血管的Vs均显著低于对照组,差异有高度统计学意义（P〈0.01）。介入组脑梗死患者在治疗后1个月,NIHSS评分就显著下降,与治疗前比较,差异有高度统计学意义（P〈0.01）;介入组脑梗死患者在治疗后1个月、6个月及12个月NIHSS评分均显著低于对照组,差异有高度统计学意义（P〈0.01）。结论 缺血性脑血管疾病采用介入技术治疗能够及时改善狭窄血管,恢复缺血区血供,改善患者近期及远期预后,尤其对脑梗死患者,能够改善患者神经功能缺损情况。Objective To discuss the clinical efficacy of interventional therapy for ischemic cerebrovascular diseases. Methods Clinical data of 158 cases with ischemic cerebrovascular disease from Jan 2013 to Dec 2014 were respectively analyzed. 71 cases were treated with interventional therapy were interventional group, and 87 cases were treated with simple drugs treatment were control group. Clinical efficacy of two groups was compared. Results Narrow blood vessel Vs of interventional group after treatment of 3 d were lower than before treatment（P〈0.01）, and Vs of interventional group after treatment of 3 d showed no significant difference with after treatment of 12 months （P〉0.05）. Vs levels of in terventional group after treatment of 3 d and after treatment of 12 months were lower than control group（P〈0.01）. NIHSS of interventional group after treatment of 1 month was lower than that before treatment（P〈0.01）. NIHSS of interventional group after treatment of 1 month, 6 months and 12 months were lower than control group （P〈0.01）. Conclusion Interventional therapy for ischemic cerebrovascular diseases can improve the narrow blood vessel in time, recovery of blood supply in ischemic area, improving the short-term and long-term prognosis of patients, especially for patients with cerebral infarction, which can improve the neurological function of patients.

关 键 词：介入 缺血性脑血管疾病 脑梗死 神经功能缺损评分 

分 类 号：R743.3[医药卫生—神经病学与精神病学]