急性颈内动脉系统脑梗死动脉溶栓介入治疗的临床探究  

Clinical Study on Intraarterial Thrombolytic Interventional Therapy for Cerebral Infarction in the Acute Internal Carotid Artery System

作　　者：吴津 WU Jin(Department of Neurosurgery,Puer People’s Hospital,Puer,Yunnan Province,665000 China)

机构地区：[1]普洱市人民医院神经外科,云南普洱665000

出　　处：《系统医学》2019年第1期86-88,共3页Systems Medicine

摘　　要：目的探讨急性颈内动脉系统脑梗死动脉溶栓介入治疗的临床效果。方法随机抽取该院2015年1月—2018年1月期间诊疗的100例急性颈内动脉系统脑梗死患者,以计算机表法的形式将患者划为2组各50例。即使用常规药物救治的患者,为A组;使用动脉溶栓介入救治的患者,为B组,比较2组患者再发率、死亡率及NIHSS评分。结果 B组患者再发率为4.00%、死亡率为0.00%,A组患者再发率为16.00%,死亡率为10.00%,即2组患者各数据间比较差异有统计学意义(χ~2=4.000 0、5.263 2,P<0.05)。入院时,B组和A组患者NIHSS评分相似,差异无统计学意义(P>0.05);但在治疗1周、1个月、3个月、6个月时,A组患者NIHSS评分显著低于B组,即2组患者各数据间比较差异有统计学意义(P<0.05)。例如:治疗6个月时,B组患者NIHSS评分为(23.9±2.6)分,A组患者NIHSS评分为(20.3±2.4)分(t=7.194 2,P<0.05)。结论针对急性颈内动脉系统脑梗死患者,动脉溶栓介入治疗能够显著控制患者再发率和死亡率,且还可改善机体NIHSS评分,值得推广。Objective To study the clinical effect of intraarterial thrombolytic interventional therapy for cerebral infarction in the acute internal carotid artery system.Methods 100 cases of patients with acute cerebral infarction of internal carotid artery system diagnosed and treated in our hospital from January 2015 to January 2018 were randomly extracted,and randomly divided into two groups with 50 cases in each,the group A used the routine drugs,while the group B used the intraarterial thrombolytic interventional therapy for cerebral infarction,and the recurrence rate,morbidity and NIHSS score were compared between the two groups.Results The recurrence rate and morbidity in the group B and in the group A were respectively 4.00%,0.00%vs 16.00%,10.00%,and the differences were statistically significant(χ^2=4.000 0,5.263 2,P<0.05),at admission,the NIHSS score of the two groups was similar,without statistical significance(P>0.05),but after 1 week,1 month,3 months and 6 months,the NIHSS score in the group A was obviously lower than that in the group B,and the differences between groups were statistically significant(P<0.05),for example,at 6 months,the NIHSS score in the group B and in the group A were respectively(23.9±2.6)points and(20.3±2.4)points(t=7.1942,P<0.05).Conclusion The intraarterial thrombolytic interventional therapy for patients with acute cerebral infarction of internal carotid artery system can obviously control the recurrence rate and morbidity of patients and improve the NIHSS scores of organs,and it is worth promotion.

关 键 词：急性颈内动脉系统 脑梗死 动脉溶栓介入 NIHSS评分 

分 类 号：R651[医药卫生—外科学]