急性前循环脑梗死采用机械取栓及低剂量替罗非班的疗效评价  

Effect Evaluation of Mechanical Thrombectomy and Low-dose Tirofiban in Treatment of Acute Anterior Circulation Cerebral Infarction

作　　者：董宁 DONG Ning(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科,吉林长春130021

出　　处：《智慧健康》2022年第18期95-98,共4页Smart Healthcare

摘　　要：目的评价急性前循环脑梗死采用机械取栓及低剂量替罗非班的疗效。方法对照组及观察组均以机械取栓的方法治疗,但观察组加入低剂量的替罗非班治疗。结果两组组间术中血管痉挛、血管再通、术后血管再闭塞、术后脑出血、手术时长、术后4h的NIHSS、术后24h的NIHSS对比,差异无统计学意义(P>0.05)。两组组间预后良好、取栓次数、术后14d的NIHSS对比,差异有统计学意义(P<0.05)。结论急性前循环脑梗死采用机械取栓及低剂量替罗非班的预后良好,能减少取栓次数、提高神经功能。Objective To evaluate effect of mechanical thrombectomy and low-dose tirofiban for acute anterior circulation cerebral infarction.Methods Control group and observation group were treated with mechanical thrombectomy,and observation group with low-dose tirofiban.Results There was no significant difference between two groups in intraoperative vasospasm,vascular recanalization,postoperative vascular recanalization,postoperative intracerebral hemorrhage,operation time,NIHSS at 4H and NIHSS at 24h,difference was statistically significant,(P>0.05).There was significant difference between two groups in terms of prognosis,thrombectomy times and NIHSS 14 days after operation,difference was statistically significant,(P<0.05).Conclusion Mechanical thrombectomy and low-dose tirofiban can achieve good prognosis for acute anterior circulation cerebral infarction,reduce number of thrombectomy and improve neurological function.

关 键 词：急性前循环脑梗死 机械取栓 低剂量替罗非班 

分 类 号：R743.33[医药卫生—神经病学与精神病学]