脑血管介入灌注治疗急性分水岭区脑梗死的有效性与安全性分析  

Effect and Safety Analysis of Cerebral Vascular Interventional Perfusion in Treatment of Acute Watershed Cerebral Infarction

作　　者：康敬源 颜建辉[1] 何劲松[1] KANG Jingyuan;YAN Jianhui;HE Jinsong(Neuromedicine Department No.2,Xiangnan University Affiliated Hospital,Chenzhou,Hunan,423000)

机构地区：[1]湘南学院附属医院神经内二科,湖南郴州423000

出　　处：《智慧健康》2022年第36期160-163,共4页Smart Healthcare

摘　　要：目的分析脑血管介入灌注治疗急性分水岭区脑梗死相关措施与临床效果。方法选取2019年5月-2020年5月本院收治的78例急性分水岭区脑梗死资料进行评定分析,入组患者随机分为两组,每组39例,分别设定为对照组与实验组,分别机给予规综合性治疗与脑血管介入灌注治疗。治疗前后,分别对患者的神经功能和生活质量进行评估,治疗结束对患者进行临床疗效判定,并统计两组各种不良反应的发生情况。结果治疗后,两组NIHSS评分均下降,差异有统计学意义(P<0.05);实验组的NIHSS评分低于对照组,差异有统计学意义(P<0.05);对照组总有效率为79.49%,实验组总有效率为94.87%,差异有统计学意义(P<0.05);治疗后,两组生活质量评分均提高,差异有统计学意义(P<0.05);实验组的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论脑血管介入灌注治疗急性分水岭区脑梗死效果安全可靠。Objective To analyze relevant measures and clinical effect of cerebral vascular interventional perfusion in treatment of acute watershed cerebral infarction.Methods The paper chose data of 78 patients with acute watershed cerebral infarction from May 2019 to May 2020 for evaluation and analysis,and divided them into two groups randomly,with 39 cases in each group,which were respectively control group and experimental group,treated with regular comprehensive treatment and cerebrovascular interventional perfusion treatment.Before and after treatment,neurological function and life quality of patients were evaluated,clinical effect of patients was judged at end of treatment,incidnece of various adverse reactions between two groups was counted.Results After treatment,scores of NIHSS in two groups decreased significantly(P<0.05);NIHSS scores of experimental group were lower than control group,difference was statistically significant(P<0.05);total effective rate was 79.49% in control group and 94.87% in experimental group,with statistically significant difference(P<0.05);after treatment,life quality scores of two groups were improved,difference was statistically significant(P<0.05);life quality scores of experimental group were higher than control group,with statistically significant difference(P<0.05).Conclusion Effect of cerebral vascular interventional perfusion is safe and reliable on acute watershed cerebral infarction.

关 键 词：急性分水岭区脑梗死 脑血管介入灌注治疗 有效性 安全性 

分 类 号：R743.33[医药卫生—神经病学与精神病学]