支架取栓术联合抽吸取栓术治疗急性闭塞型脑梗死的临床效果分析  

Clinical observation of stent intervention combined with thrombolysis in treatment of patients with acute occlusive cerebral infarction

作　　者：徐栋 任瑞涛 XU Dong;REN Ruitao(Stroke Center,Hebi People's Hospital,Hebi,Henan 458030,China)

机构地区：[1]鹤壁市人民医院脑卒中中心,河南鹤壁458030

出　　处：《中国医学工程》2024年第5期67-70,共4页China Medical Engineering

摘　　要：目的分析支架介入联合抽吸取栓术治疗急性闭塞型脑梗死的临床疗效。方法将鹤壁市人民医院收治的85例急性闭塞型脑梗死患者分为对照组(42例)和试验组(43例),分别进行单纯支架取栓术治疗、支架介入联合抽吸取栓术治疗。结果试验组总有效率、血管再通成功率分别为93.02%、90.70%,高于对照组(73.81%、61.90%)(P<0.05);试验组治疗后1 d、7 d、30 d美国国立卫生研究院卒中量表(NIHSS)评分为(14.73±3.51)分、(11.16±2.10)分、(7.32±1.53)分,低于对照组[(17.82±3.85)分、(15.24±2.15)分、(11.91±2.07)分](P<0.05);治疗后7 d、30 d试验组巴氏(Barthel)量表评分为(68.63±7.34)分、(88.62±8.61)分,高于对照组[(51.87±5.82)分、(64.72±6.59)分](P<0.05)。结论支架介入联合抽吸取栓术治疗急性闭塞型脑梗死的疗效较高,血管再通成功率高,神经功能缺损改善明显,日常生活能力显著提高。【Objective】To analyze the clinical effect of stent intervention combined with thrombus aspiration in the treatment of acute occlusive cerebral infarction.【Methods】Eighty-five patients with acute occlusive cerebral infarction in Hebi People's Hospital were divided into control group(42 cases)and experimental group(43 cases),and were treated with stent thrombectomy alone or stent intervention combined with thrombectomy.【Results】The total effective rate and the success rate of vascular recanalization in experimental group were 93.02%and 90.70%,respectively,which were significantly higher than 73.81%and 61.90%in control group(P<0.05).NIHSS scores of experimental group(14.73±3.51 points,11.16±2.10 points and 7.32±1.53 points)were significantly lower than those of control group(17.82±3.85 points,15.24±2.15 points and 11.91±2.07 points)on the 1st,7th and 30th day after treatment.On the 7th and 30th day after treatment,Barthel scores of experimental group(68.63±7.34 points and 88.62±8.61 points)were significantly higher than those of control group(51.87±5.82 points and 64.72±6.59 points),and the difference between groups was significant(P<0.05).【Conclusion】Stent intervention combined with thrombolysis in the treatment of acute occlusive cerebral infarction has high efficacy,high success rate of vascular recanalization,obvious improvement of nerve function defect,and remarkable improvement of daily living ability.

关 键 词：急性闭塞型脑梗死 支架取栓术 抽吸取栓术 临床疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学]