急性缺血性脑卒中血管内介入治疗的疗效分析  

Therapeutic effect of endovascular intervention in acute ischemic stroke

作　　者：高燕[1] GAO Yan(Department of Neurosurgery,Bayannur Hospital in Inner Mongolia Autonomous Region,Bayannur015000,China)

机构地区：[1]内蒙古自治区巴彦淖尔市医院神经外科

出　　处：《中国现代医生》2019年第30期75-78,共4页China Modern Doctor

摘　　要：目的探讨急性缺血性脑卒中患者实施血管内介入治疗的效果。方法纳入本院(2015年10月-2018年10月接收的急性缺血性脑卒中患者(n=100)作为研究对象,均实施血管介入治疗,按随机数字表法分为实验组(n=50,实施硫酸氢氯吡格雷片+阿司匹林治疗)、对照组(n=50,实施阿司匹林治疗),比较两组治疗后血管再通率、并发症发生率、神经功能评分、临床总有效率情况。结果实验组治疗后血管再通率为76.00%,显著高于对照组56.00%,差异显著(P<0.05)。实验组并发症发生率为12.00%,显著低于对照组28.00%,差异显著(P<0.05)。实验组神经功能评分(4.52±1.35分)显著低于对照组(7.21±1.45分),差异显著(P<0.05)。实验组临床总有效率为82.00%,显著高于对照组64.00%,差异显著(P<0.05)。结论急性缺血性脑卒中患者实施血管内介入治疗的效果显著,既可提高血管再通率,改善神经功能缺损评分,还可降低并发症发生率,值得借鉴。Objective To investigate the effect of endovascular interventional therapy in patients with acute ischemic stroke. Methods 100 patients with acute ischemic stroke who were enrolled in our hospital from October 2015 to October 2018 were enrolled in the study. All patients underwent vascular intervention and were divided into experimental groups according to the random number table method. They all underwent vascular interventional therapy. The patients were divided into experimental group(n=50, treated with clopidogrel hydrogen sulfate+aspirin) and control group(n=50,treated with aspirin) according to random number table. The revascularization rate, complication rate, neurological function score and clinical total efficiency situation were compared. Results After treatment, the recanalization rate of the experimental group was 76.00%, significantly higher than that of the control group(56.00%), and the difference was significant(P<0.05). The complication rate of the experimental group was 12.00%, significantly lower than that of the control group(28.00%), and the difference was significant(P<0.05). The neurological function score(4.52±1.35) in the experimental group was significantly lower than that in the control group(7.21 ±1.45), and the difference was significant(P<0.05). The total clinical effective rate of the experimental group was 82.00%, which was significantly higher than that of the control group(64.00%), and the difference was significant(P<0.05). Conclusion The endovascular intervention in patients with acute ischemic stroke has significant effect. It can improve the recanalization rate, improve the score of neurological deficit, reduce the incidence of complications, and is worth learning.

关 键 词：急性缺血性脑卒中 血管内介入治疗 大面积脑梗死 血管完全再通 神经功能缺损评分 

分 类 号：R743.3[医药卫生—神经病学与精神病学]