颈内动脉次全闭塞型脑梗死亚急性期患者支架血管成形术效果分析  

Effect of Stenting Angioplasty in Subacute Patients with Subtotal Occlusion of Cerebral Internal Carotid Artery

作　　者：何云[1] 黄晓松[2] 杨松林[2] HE Yun;HUANG Xiaosong;YANG Songlin(Hunan University of Traditional Chinese Medicine,Changsha 410000,China;不详)

机构地区：[1]湖南中医药大学,湖南长沙410000 [2]湖南省脑科医院

出　　处：《中国医学创新》2020年第21期27-30,共4页Medical Innovation of China

基　　金：湖南省卫生健康委科研计划项目(20200918)。

摘　　要：目的:探讨支架血管成形术治疗颈内动脉次全闭塞型脑梗死亚急性期患者的效果。方法:选取2017年9月-2019年10月本院收治的60例颈内动脉次全闭塞型脑梗死亚急性期患者的临床资料进行回顾性分析。按治疗方法不同分为单纯药物组与介入治疗组,每组30例。单纯药物组给予常规用药治疗,介入治疗组行颈动脉支架血管成形术治疗。比较两组血管狭窄程度、血管再通率、治疗后1年血管再狭窄率、美国国立卫生研究院脑卒中量表(NIHSS)、改良Rankin量表(mRS)评分、并发症发生与预后情况。结果:治疗后,介入治疗组血管狭窄程度与血管再通率均优于单纯药物组(P<0.05)。介入治疗组治疗后1年血管再狭窄率低于单纯药物组(P<0.05)。介入治疗组并发症发生率低于单纯药物组,且预后良好率高于单纯药物组(P<0.05)。治疗后6个月,介入治疗组NIHSS与mRS评分均低于单纯药物组(P<0.05)。结论:支架血管成形术治疗颈内动脉次全闭塞型脑梗死亚急性期患者可提高血管再通率,可有效改善病变血管狭窄程度,改善预后,安全性好。Objective:To explore the effect of stenting angioplasty in subacute patients with subtotal occlusion of cerebral internal carotid artery.Method:The clinical data of 60 patients with subacute of subtotal occlusion of cerebral internal carotid artery admitted to our hospital from September 2017 to October 2019 were retrospectively analyzed.According to different treatment methods,they were divided into simple drug group and interventional therapy group,with 30 patients in each group.The simple drug group was treated with conventional medication,while the interventional therapy group was treated with stenting angioplasty.The degree of vascular stenosis,vascular recanalization rate,vascular restenosis rate 1 year after treatment,national institutes of health stroke scale(NIHSS),modified Rankin scale(mRS)scores,complications and prognosis were compared between the two groups.Result:After treatment,the degree of vascular stenosis and vascular recanalization rate in the interventional therapy group were better than those in the simple drug group(P<0.05).The rate of vascular restenosis 1 year after treatment in the interventional therapy group was lower than that in the simple drug group(P<0.05).The complication rate of interventional therapy group was lower than that of the simple drug group,and the rate of good prognosis was higher than that of the simple drug group(P<0.05).6 months after treatment,the NIHSS and mRS scores of the interventional therapy group were lower than those of the simple drug group(P<0.05).Conclusion:Stenting angioplasty in the treatment for subacute patients with subtotal occlusion of cerebral internal carotid artery can improve the rate of vascular recanalization,effectively improve the stenosis degree of the diseased vessels,improve the prognosis,and ensure good safety.

关 键 词：脑梗死 次全闭塞 亚急性期 支架血管成形术 

分 类 号：R743.3[医药卫生—神经病学与精神病学]