急诊取栓术后补救性支架植入或者球囊扩张成形术对患者预后的影响  

The Effect of Salvage Stent Implantation or Balloon Dilatation on the Prognosis of Patients after Emergency Thrombectomy

作　　者：任彬彬 蒋京功 李纪森 REN Binbin;JIANG Jinggong;LI Jisen(Cerebrovascular Disease Center,Linyi Hospital of Traditional Chinese Medicine,Linyi 276003,Shandong,China)

机构地区：[1]临沂市中医医院脑血管病中心,山东临沂276003

出　　处：《中外医疗》2024年第23期51-54,共4页China & Foreign Medical Treatment

摘　　要：目的分析颅内大脑动脉闭塞型脑梗死患者急诊取栓术后补救性支架植入或者球囊扩张成形术对患者预后的影响。方法回顾性选取2020年10月—2023年10月临沂市中医医院收治的83例颅内大脑动脉闭塞型脑梗死取栓患者的临床资料。根据不同的治疗方法分为两组,球囊扩张组49例、支架组34例,比较两组患者的动脉狭窄程度、预后情况、死亡率和生活质量。结果术后1周,支架组的动脉狭窄程度为(22.73±3.56)%,低于球囊扩张组的(31.84±4.67)%,差异有统计学意义(t=9.597,P<0.05)。术前,两组的美国国立卫生院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分比较,差异无统计学意义(P>0.05);术后3个月,支架组的NIHSS评分低于球囊扩张组,差异有统计学意义(P<0.05)。两组的预后情况和死亡率比较,差异无统计学意义(P均>0.05)。术后3个月,两组患者的Barthel指数评分较术前升高,差异有统计学意义(P均<0.05),但术后两组的Barthel指数评分比较,差异无统计学意义(P>0.05)。结论临床中针对颅内大脑动脉闭塞型脑梗死患者急诊取栓术后的进行支架植入可以有效改善患者的动脉狭窄程度和神经功能。支架植入和球囊扩张在患者预后和生活质量方面没有差异,临床中可以根据患者的不同情况选择不同的方法进行治疗。Objective To analyze the effect of salvage stent implantation or balloon dilatation on the prognosis of pa-tients with intracranial cerebral artery occlusive cerebral infarction after emergency thrombectomy.Methods The clini-cal data of 83 patients with intracranial cerebral artery occlusion cerebral infarction who underwent thrombectomy in Linyi Hospital of Traditional Chinese Medicine from October 2020 to October 2023 were retrospectively selected.Ac-cording to different treatment methods,they were divided into two groups,49 cases in balloon dilatation group and 34 cases in stent group.The degree of arterial stenosis,prognosis,number of deaths and quality of life were compared be-tween the two groups.Results One week after operation,the degree of arterial stenosis in the stent group was(22.73±3.56)%,which was lower than that in the balloon dilatation group(31.84±4.67)%,and the difference was statistically significant(t=9.597,P<0.05).Before operation,there was no significant difference in the National Institute of Health Stroke Scale(NIHSS)score between the two groups(P>0.05);at 3 months after operation,the NIHSS score of the stent group was lower than that of the balloon dilatation group,and the difference was statistically significant(P<0.05).There was no significant difference in prognosis and mortality between the two groups(both P>0.05).At 3 months after operation,the Barthel index scores of the two groups were higher than those before operation,and the differences were statistically significant(both P<0.05).There was no significant difference in Barthel index score between the two groups after operation(P>0.05).Conclusion In clinical practice,stent implantation for patients with intracranial cere-bral artery occlusive cerebral infarction after emergency thrombectomy can effectively improve the degree of arterial stenosis and neurological function of patients.There is no difference between stent implantation and balloon dilatation in the prognosis and quality of life of patients.Different methods can be s

关 键 词：急诊取栓 支架植入 球囊扩张 生活质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学]