脑血管介入灌注治疗急性分水岭区脑梗死患者的临床效果研究  

Study on the Clinical Effect of Cerebral Vascular Perfusion in the Treatment of Patients with Acute Watershed Cerebral Infarction

作　　者：杨扬 张宁[1] YANG Yang;ZHANG Ning(Department of Neurosurgery,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia Autonomous Region,014010 China)

机构地区：[1]内蒙古科技大学包头医学院第一附属医院神经外科,内蒙古包头014010

出　　处：《中外医疗》2021年第11期50-52,共3页China & Foreign Medical Treatment

基　　金：内蒙古自治区自然科学基金项目(2019MS08050)(脑缺血);包头医学院科学研究基金(BYJJ-YF-2018004)。

摘　　要：目的研究急性分水岭区脑梗死给予脑血管介入灌注治疗的临床效果。方法方便选取2019年3月—2020年3月期间于该院接受治疗的92例急性分水岭区脑梗死患者,随机抽取46例作为A组,开展常规治疗,其余46例设为B组,开展脑血管介入灌注治疗,总结分析两组患者的临床治疗结果。结果治疗后,B患者的椎基底动脉系统短暂性脑缺血发作治疗总有效率(95.83%)与A组的(66.67%)相比明显更高,差异有统计学意义(χ^(2)=4.676,P<0.05);且B组的颈内动脉系统短暂性脑缺血发作治疗总有效率(95.45%)相较于A组的(68.00%)也明显更高,差异有统计学意义(χ^(2)=4.062,P<0.05)。结论对急性分水岭区脑梗死患者给予脑血管介入灌注治疗效果理想,可有改善患者的临床症状,促进疾病康复。Objective To study the clinical effect of cerebrovascular perfusion for acute watershed cerebral infarction.Methods Conveniently selected 92 patients with acute watershed cerebral infarction during the period from March 2019 to March 2020 who were treated in the hospital.46 cases were randomly selected as group A,and routine treatment was carried out.The remaining 46 cases were set as group B,carrying out cerebrovascular perfusion therapy,to summarize and analyze the clinical treatment results of the 2 groups of patients.Results After treatment,the total effective rate(95.83%)of transient ischemic attack of the vertebrobasilar system of patient B was significantly higher than that of group A(66.67%),the difference was statistically significant(χ^(2)=4.676,P<0.05);and the total effective rate(95.45%)of the treatment of transient ischemic attack in the internal carotid artery system of the group B was also significantly higher than that of the group A(68.00%),the difference was statistically significant(χ^(2)=4.062,P<0.05).Conclusion The effect of cerebrovascular interventional perfusion therapy for patients with acute watershed cerebral infarction is ideal,which can improve the clinical symptoms of the patients and promote the recovery of the disease.

关 键 词：急性 分水岭区 脑梗死 脑血管 介入灌注治疗 

分 类 号：R54[医药卫生—心血管疾病]