血管内支架治疗颈内动脉狭窄的应用及预后分析  

Application and Prognosis of Endovascular Stent in the Treatment of Internal Carotid Artery Stenosis

作　　者：李盟 崔哲 商贺清 吴磊 LI Meng;CUI Zhe;SHANG He-qing;WU Lei(Department of Interventional Therapy,Hulunbuir People’s Hospital,Inner Mongolia Hulunbuir 021008)

机构地区：[1]呼伦贝尔市人民医院介入治疗科,内蒙古呼伦贝尔021008

出　　处：《中国医疗器械信息》2021年第22期181-182,共2页China Medical Device Information

摘　　要：目的:探讨对颈内动脉狭窄患者采用血管内支架方法进行治疗后获得的临床效果。方法:将2017年6月~2020年5月本院收治的62例颈内动脉狭窄患者按照数字奇偶法分组;血管内支架组(31例);采用血管内支架完成疾病治疗;常规药物组(31例):采用常规药物完成疾病治疗;对组间MMSE评分、MoCA评分以及总不良事件发生率展开对比。结果:治疗后,血管内支架组颈内动脉狭窄患者MMSE评分(28.92±2.07)分以及MoCA评分(20.39±2.11)分均高于常规药物组MMSE评分(26.63±1.95)分以及MoCA评分(18.85±2.06)分(P<0.05);血管内支架组颈内动脉狭窄患者总不良事件发生率(9.68%)同常规药物组(12.90%)比较差异不明显(P>0.05)。结论:血管内支架方法有效运用,可使颈内动脉狭窄患者认知功能获得明显改善,最终实现颈内动脉狭窄患者有效预后。Objective:To investigate the clinical effect of endovascular stent in patients with internal carotid artery stenosis.Methods:A total of 62 patients with internal carotid artery stenosis admitted to our hospital from June 2017 to May 2020 were divided into two groups by numerical odd-even method.Endovascular stent group(31 cases);Endovascular stents were used for disease treatment.In the conventional drug group(31 cases),the disease was treated with conventional drugs.MMSE score,MoCA score,and incidence of total adverse events were compared between groups.Results:After treatment,MMSE score(28.92±2.07)and MoCA score(20.39±2.11)of patients with internal carotid artery stenosis in the stent group were significantly higher than those in the conventional drug group(26.63±1.95)and MoCA score(18.85±2.06)(P<0.05).The incidence of total adverse events in patients with internal carotid artery stenosis in the stent group(9.68%)was not significantly different from that in the conventional drug group(12.90%)(P>0.05).Conclusion:The effective application of endovascular stent can significantly improve the cognitive function of patients with internal carotid artery stenosis,and finally achieve effective prognosis of patients with internal carotid artery stenosis.

关 键 词：血管内支架 颈内动脉狭窄 认知域评分 MMSE评分 MoCA评分 不良事件 

分 类 号：R65[医药卫生—外科学]