支架取栓术与动脉溶栓术治疗急性缺血性脑卒中的疗效分析  

Effects of stent thrombectomy and arterial thrombolysis on acute ischemic stroke

作　　者：戚进聪 徐力[1] 赖勇[1] Qi Jincong;Xu Li;Lai Yong(Department of Neurosurgery Ward Two, Zhanjiang Central People＇s Hospital, Zhanjiang 524045, Chin)

机构地区：[1]广东省湛江中心人民医院神经外二科,524045

出　　处：《中国实用医刊》2018年第11期30-31,34,共3页Chinese Journal of Practical Medicine

基　　金：广东省湛江市科技局科研基金项目（2017A304）

摘　　要：目的分析支架取栓术与动脉溶栓术治疗急性缺血性脑卒中的疗效。方法选取急性缺血性脑卒中患者62例为研究对象，将其随机分为参照组与治疗组，每组31例。参照组给予动脉溶栓术治疗，治疗组给予支架取栓术治疗，比较两组神经功能障碍情况及血管再通率。结果术后，治疗组神经功能障碍情况（NIHSS评分）较治疗前有所改善，并优于参照组（P〈0.05）；治疗组血管再通率高于参照组（P〈0.05）。结论急性缺血性脑卒中疾病治疗中给予支架取栓术的治疗效果优于动脉溶栓术，可改善患者的神经功能，血管再通效果显著。ObjectiveTo analyze the effects of stent thrombectomy and arterial thrombolysis on acute ischemic stroke.MethodsSixty-two patients with acute ischemic stroke were selected as the research subjects. They were randomly divided into control group and treatment group, with 31 cases in each group. Patients in control group were treated by arterial thrombolysis, and patients in treatment group were treated by stent thrombectomy. The neurological dysfunction and recanalization rate of the two groups were compared.ResultsThe neurological dysfunction （NIHSS score） in treatment group was improved after treatment and was better than that in control group （P〈0.05）. The recanalization rate in treatment group was higher than that in control group （P〈0.05）.ConclusionsStent thrombectomy is better than thrombolysis in the treatment of acute ischemic stroke. It can improve the neurological function of patients, and has remarkable effect of vascular recanalization.

关 键 词：支架取栓术 动脉溶栓术 急性缺血性脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]