急性缺血性卒中动脉内机械取栓疗效及困难的临床分析  

Clinical Analysis on the Curative Effect and Difficulty of Intraarterial Mechanical Thrombectomy in Acute Ischemic Stroke

作　　者：黄金波[1] 陈海[1] 袁莉[1] 杨职[1] 

机构地区：[1]广东省茂名市人民医院,广东茂名525000

出　　处：《临床医学工程》2017年第11期1545-1546,共2页Clinical Medicine & Engineering

摘　　要：目的研究机械取栓治疗急性缺血性卒中的临床效果,分析机械取栓的困难并探讨其对策。方法选取我院2016年5月至2017年4月收治的49例急性缺血性卒中动脉内机械取栓患者作为观察组,另选取49例同期未取栓的急性脑梗死患者作为对照组。观察两组患者的治疗效果、生活质量和并发症情况。结果观察组的治疗总有效率为95.92%,明显高于对照组的83.67%(P<0.05)。治疗前,两组患者的ADL评分比较无统计学差异(P>0.05);治疗后,观察组的ADL评分高于对照组(P<0.05)。两组患者的并发症发生率比较无统计学差异(P>0.05)。结论机械取栓治疗急性缺血性卒中效果较好,并发症少,患者的生活质量明显提高。术中应注意手术操作,采取合理的方法取栓,尽可能快速开通血管,以减少血管损伤,避免血栓逃逸。Objective To study the clinical effect of mechanical thrombectomy in the treatment of acute ischemic stroke, analyze the difficulty of mechanical thrombectomy and explore the countermeasures. Methods 49 cases of patients with acute ischemic stroke undergoing intraarterial mechanical thrombectomy in our hospital from May 2016 to April 2017 were selected as the observation group. Another 49 cases of patients with acute cerebral infarction who had not received thrombectomy were selected as the control group. The treatment effect, quality of life and complications of two groups were observed. Results The total effective rate of observation group was 95.92%, significantly higher than 83.67% of control group （P 〈0.05）. No statistical difference was found in the ADL score between two groups before treatment （P 〉0.05）. After treatment, the ADL score of observation group was higher than that of control group （P 〈0.05）. No statistical difference was found in the incidence of complications between two groups （P〉0.05）. Conclusions Mechanical thrombectomy is effective in the treatment of acute ischemic stroke with less complications, and patients＇ quality of life significantly improve. It should be paid attention to surgical operation and take reasonable method for taking thrombosis. The blood vessels should be open as soon as possible to reduce vascular damage and avoid thrombosis escape.

关 键 词：急性缺血性卒中 机械取栓 血管内治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]