血管内介入术治疗缺血性脑血管病的临床疗效  

Clinical efficacy of intravascular interventional therapy for ischemic cerebrovascular disease

作　　者：李金保[1] 何尧利 LI Jin-bao;HE Yao-li(Interventional Vascular Surgery Department;Geriatric Cardio Cerebrovascular Department,Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院介入血管外科,721008 [2]宝鸡市中心医院老年心脑血管科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2018年第25期51-52,共2页Clinical Research and Practice

摘　　要：目的探讨血管内介入术治疗缺血性脑血管病(ICVD)的临床疗效。方法将我院收治的90例ICVD患者随机分为对照组与观察组,各45例。对照组患者单用药物治疗,观察组在药物治疗基础上加行血管内介入治疗术。比较两组患者治疗前、后病变血管血流情况及神经功能。结果治疗后,两组患者的病变血管平均峰值血流速度(Vm)与阻力指数(RI)均改善,且观察组明显优于对照组(P<0.05);治疗后1、3、6个月,两组的NIHSS评分均逐渐降低,且观察组明显低于对照组(P<0.05)。结论血管内介入术治疗ICVD优于单用药物治疗,也利于神经功能恢复。Objective To investigate the clinical efficacy of intravascular interventional therapy for ischemiccerebrovascular disease （ICVD）. Methods Ninety patients with ICVD admitted in our hospital were randomly divided intocontrol group and observation group, with 45 cases in each group. The control group was treated with drugs alone, and theobservation group was treated with intravascular interventional therapy on the basis of drugs treatment. The blood flow of thelesions and neurological function before and after treatment were compared between the two groups. Results After treatment,the mean peak blood flow velocity （Vm） and resistance index （RI） of the lesions in both groups improved, and those in theobservation group were significantly better than the control group（P〈0.05）. At 1, 3 and 6 months after treatment, the NIHSSscores of the two groups gradually decreased, and those of the observation group were significantly lower than the controlgroup （P〈0.05）. Conclusion Intravascular interventional therapy for ICVD is better than single medication, and it＇sconducive to the recovery of neurological function.

关 键 词：血管内介入术 缺血性脑血管病(ICVD) 神经功能 

分 类 号：R743.31[医药卫生—神经病学与精神病学]