经导管选择性脑动脉内介入溶栓治疗急性脑梗死效果观察  

Clinical effects of transcatheter selective arterial thrombolysis on acute cerebral infarction

作　　者：王达[1] Wang Da(The Central People＇ s Hospital of Huizhou, Huizhou 516100, China)

机构地区：[1]广东省惠州市中心人民医院,516100

出　　处：《临床医学》2018年第6期3-5,共3页Clinical Medicine

摘　　要：目的探讨经导管选择性脑动脉内介入溶栓治疗急性脑梗死的临床效果。方法随机选取86例急性脑梗死患者进行研究,随机将其分为两组,每组43例。对照组患者给予常规静脉溶栓治疗,观察组患者给予经导管选择性脑动脉内介入溶栓治疗,比较两组疗效及神经功能缺损改善情况。结果观察组患者治疗有效率(95.34%)高于对照组(81.39%),观察组患者治疗后的美国国立卫生院卒中评分量表(NIHSS)、改良RANKIN量表(mRS)评分优于对照组(P<0.05);观察组并发症发生率及死亡率与对照组比较,差异未见统计学意义(P>0.05)。结论经导管选择性脑动脉内介入溶栓方法治疗急性脑梗死可获得良好的疗效,救治成功率高,且可以快速改善神经功能缺损,具有较高的临床应用价值。Objective To investigate the effects of transcatheter selective arterial thrombolysis on acute cerebral infarction. Methods A total of 86 patients with acute cerebral infarction were selected and divided into two groups randomly, with 43 cases in each group. The patients in the control group were given routine intravenous thrombolysis, and the patients in the observation group were treated by catheter-mediated intracerebral thrombolysis. Then the curative effects and the improvement of neurological deficit were compared between two groups. Results The effective rate of observation group （95.34%） was higher than that of the control group （79. 06% ）, the difference was significant （P 〈 0. 05 ）. The NIHSS and mRS scores of the patients in the observation group were better than those of the patients in the control group （P 〈 0. 05 ）. There was no significant difference in the complication rate or the mortality between the observation group and the control group （P 〉 0. 05）. Conclusions Transcatheter selective arterial throm- bolysis has good curative effects on acute cerebral infarction, which can improve the success rate of treat- ment and rapidly improve the neurological deficit, and has a high clinical application value.

关 键 词：经导管选择性脑动脉内介入溶栓 急性脑梗死 神经功能缺损 

分 类 号：R743.3[医药卫生—神经病学与精神病学]