颈动脉颅外段狭窄介入治疗对脑卒中预后的影响  

Effect of Interventional Therapy on Prognosis of Patients With Extracranial Carotid Artery Stenosis

作　　者：阿地力江.阿布力米提 努尔比亚.阿不拉江 

机构地区：[1]新疆喀什地区第一人民医院神经内一科,新疆喀什844000

出　　处：《中国继续医学教育》2017年第24期81-82,共2页China Continuing Medical Education

摘　　要：目的观察颈动脉颅外段狭窄介入治疗对脑卒中预后的影响。方法选取我院接诊治疗的79例脑卒中患者作为研究对象,根据不同治疗方式分为介入组(40例)与对照组(39例),对照组给予常规药物治疗,介入组在此基础上给予颈动脉颅外段狭窄介入治疗,随访半年对每位患者进行NIHSS、MMSE评分,并记录复发卒中、死亡等恶性事件发生情况。结果介入组再次发生脑卒中1例(2.5%),成功救治;对照组发生5例(12.8%),其中1例救治无效死亡。6个月后介入组患者NIHSS评分明显较对照组更低,MMSE评分更高(P<0.05)。结论颈动脉颅外段狭窄介入治疗脑卒中,患者近期复发率低,疗效良好。Objective To observe the effect of interventional therapy for extracranial carotid stenosis on the prognosis of stroke. Methods 79 patients with stroke treated in our hospital were selected and divided into intervention group （40 cases） and control group （39 cases） according to different treatment methods, control group was given conventional drug treatment, and the intervention group was given interventional treatment of extracranial carotid artery stenosis, all patients were followed up for six months, and NIHSS, MMSE scores were recorded, and the incidence of recurrent stroke, death and other malignant events were recorded. Results There were 1 case （2.5%） of recurrent stroke in the interventional group, and 5 cases （12.8%） in the control group, 1 of whom died. 6 months later, the NIHSS score of the intervention group was significantly lower than that of the control group, and the MMSE score was higher （P 〈 0.05）. Conclusion Carotid artery extracranial stenosis interventional treatment of stroke, patients with low recurrence rate, good curative efect.

关 键 词：介入治疗 脑卒中 预后 

分 类 号：R742[医药卫生—神经病学与精神病学]