急性椎基底动脉闭塞性脑梗死给予微创干预的临床效果分析  

Clinical Effect Analysis of Minimally Invasive Intervention on Acute Vertebrobasilar Artery Occlusive Cerebral Infarction

作　　者：谢莉莉 XIE Lili(Neurology Department,Jilin Province Fourth People's Hospital,Changchun Jilin,130021)

机构地区：[1]吉林省第四人民医院神经内二科,吉林长春130021

出　　处：《智慧健康》2022年第18期32-35,共4页Smart Healthcare

摘　　要：目的分析急性椎基底动脉闭塞性脑梗死给予微创干预的临床效果。方法选取2018年7月-2019年12月吉林省第四人民医院治疗的急性椎基底动脉闭塞性脑梗死患者165例。按随机分组法,分为静脉组、动脉组和机械组,每组55例。静脉组采取静脉溶栓治疗,动脉组采取动脉溶栓治疗,机械组取采取机械取栓治疗。结果经过统计学处理,静脉组与机械组、动脉组与机械组、静脉组与动脉组组间血管再通率、NIHSS良好率的对比结果为P<0.05;静脉组与机械组、动脉组与机械组组间预后良好率的对比结果为P<0.05。结论急性椎基底动脉闭塞性脑梗死给予微创干预时,机械取栓在开通血管、提高神经功能、改善预后方面,均比静脉溶栓和动脉溶栓要好。而与静脉溶栓相比,动脉溶栓在血管开通、提高神经功能方面有一定的优势。Objective To analyze clinical effect of minimally invasive intervention on acute vertebrobasilar artery occlusive cerebral infarction.Methods The paper chose 165 patients with acute vertebrobasilar artery occlusive cerebral infarction treated in Jilin Province The Fourth People's Hospital from July 2018 to December 2019,and divided them into vein group,artery group and mechanical group according to random grouping method,with 55 cases in each group.Venous group was treated with intravenous thrombolysis,and arterial group with arterial thrombolysis,mechanical group with mechanical thrombolysis.Results After statistical treatment,comparison results of vascular recanalization rate and NIHSS good rate between vein group and mechanical group,artery group and mechanical group,vein group and artery group showed P<0.05;comparison of good prognosis between vein group and mechanical group,artery group and mechanical group showed P<0.05.Conclusion Mechanical thrombectomy can achieve better effect than intravenous thrombolysis and arterial thrombolysis in opening blood vessels,improving neurological function and improving prognosis.Compared with intravenous thrombolysis,arterial thrombolysis has some certain advantages in opening blood vessels and improving nerve function.

关 键 词：急性 椎基底动脉 闭塞 脑梗死 微创 

分 类 号：R743.33[医药卫生—神经病学与精神病学]