Solitaire支架介入取栓术治疗急性脑梗死的疗效及对术后并发症的影响  

Curative Effects and Postoperative Complications of Acute Cerebral Infarction Patients Using the Solitaire Stent-Based Embolectomy

作　　者：吕林亚 张永森[1] 张鹏[1] 王龙 侯亚卿 王玉峰[1] LYU Linya;ZHANG Yongsen;ZHANG Peng;WANG Long;HOU Yaqing;WANG Yufeng(Department of Neurosurgery,The Third Affiliated Hospital of Xinxiang Medical College,Xinxiang Henan 453000,China)

机构地区：[1]新乡医学院第三附属医院神经外科,河南新乡453000

出　　处：《临床研究》2023年第3期5-8,共4页Clinical Research

摘　　要：目的研究Solitaire支架介入取栓术诊治急性脑梗死(AIS)患者的疗效及对术后并发症的影响。方法于2019年1月至2022年12月采用随机数字表法将新乡医学院第三附属医院收治的80例AIS患者分为参照组和试验组各40例。参照组采取常规动静脉溶栓诊治,试验组则采取Solitalre支架介入取栓术诊治。观察对比两组患者神经功能改善情况、预后状况、疗效及并发症情况。结果诊治前两组患者卒中量表(NIHSS)与改良Rankin量表(mRS)评分差异无统计学意义(P>0.05),诊治后两组不同时间段评分均低于治疗前,并且试验组NIHSS与mRS评分显著低于参照组,差异有统计学意义(P<0.05)。诊治后试验组治疗有效率(92.50%)高于参照组(52.50%),差异有统计学意义(P<0.05)。诊治后试验组并发症发生率(7.50%)低于参照组(35.00%),差异有统计学意义(P<0.05)。结论针对AIS患者采取Solitaire支架介入取栓术,有利于降低患者NIHSS与mRS评分,改善患者神经功能和预后情况,提高诊治有效率,可以减少术后并发症发生率,具有临床使用价值。Objective To study the impacts of Solitaire stent-based embolectomy on the curative effects and postoperative complications for acute cerebral infarction patients.Methods A total of 80 acute cerebral infarction patients treated from January 2019 to December 2022 in the Third Affiliated Hospital of Xinxiang Medical College were chosen as research subjects.According to random number table,patients were assigned to control group(N=40,arteriovenous thrombolysis)and study group(N=40,Solitaire stent-based embolectomy).The neurological function,treatment prognosis and effects,postoperative complications were observed between two groups.Results Before treatment,National Institute of Health Stroke Scale(NIHSS)and modified Rankin scale(m RS)scores between groups were not significantly different(P>0.05);After treatment,NIHSS and mRS scores for two groups were significantly lower than before;related scores in the study group were even lower than control group,with significant differences(P<0.05);The total effective treatment rate in the study group(92.50%)was significantly higher than control group(52.50%),with significant difference(P<0.05);The total treatment complication rate in the study group(7.50%)was significantly lower than control group(35.00%),with significant difference(P<0.05).Conclusion The Solitaire stent-based embolectomy can reduce the patient’s NIHSS and mRS scores and total postoperative complications,improve the neurological function,treatment prognosis and effects for acute cerebral infarction patients.It shall be widely applied in clinical surgery.

关 键 词：Solitaire支架 取栓术 急性脑梗死 并发症 

分 类 号：R742[医药卫生—神经病学与精神病学]