摘要
目的探讨介入治疗对伴有严重颈动脉颅外段狭窄的脑梗死患者神经功能缺损状况、认知功能及脑卒中复发预后的影响。方法78例颈动脉颅外段严重狭窄脑梗死患者采用经皮血管内成形及支架置入术（PTAS），作为介入治疗组；72例颈动脉颅外段严重狭窄脑梗死患者仅接受药物治疗，作为对照组。两组患者随访6个月，观察患者NIHSS评分，记录脑卒中及死亡事件。结果两组患者一般资料及影响预后相关因素比较差异无统计学意义，合并非干预脑动脉狭窄分布情况和入组时NIHSS评分差异无统计学意义，介入治疗组3、6个月NIHSS评分显著低于对照组（P〈0．05）。结论PTAS对改善近期颈动脉颅外段严重狭窄患者的康复顸后有良好的效果。
Objective To investigate the effects of interventional therapy on acute cerebral infarction in the vascular distribution of the internal carotid artery. Methods The clinical data of pa- tients with ~acute cerebral infarction in the vascular distribution of the internal carotid artery were retro- spectively analyzed. Patients were divided into two groups according to therapeutic method. Group A（78 cases） received intra-arterial thrombolysis treatment; Group B （72 cases ） received conservative treat- ment. Results Patients in group A had lower NIHSS scores than patients in group B after 3, 6 months＇ treatment, the difference was statistically significant（P 〈 0. 05）. Conclusions Patients with acute cere- bral infarction in the vascular distribution of the internal carotid artery who received interventional therapy can have better treatment effects than patients treated with drug therapy.
出处
《中国实用医刊》
2014年第9期49-51,共3页
Chinese Journal of Practical Medicine
关键词
动脉溶栓
介入治疗
老年
脑梗死
Intra-arterial thrombolysis
Interventional therapy
Aged
Cerebral infarction
