急性脑分水岭梗死采用血管内介入治疗的临床效果观察

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摘要    [摘要 ] 目的 探讨对患急性脑分水岭梗死的患者采用血管内介入治疗的效果如何。方法 方便选取 2018年 1月— 2020年 2月在该院就诊的患急性脑分水岭梗死的患者 72例,对这些患者都采用血管内介入治疗的诊治方法。观察这些患者手术前后的颈动脉狭窄情况,对这些患者的神经功能缺损进行评分。结果 经血管内介入治疗的方法治疗后,有 68例( 94.4%)急性脑分水岭梗死患者狭窄解除,有 2例( 5.6%)患者转为轻度狭窄;这些患者术后神经功能缺损评分( 10.4±2.9)分也低于手术前的评分( 24.5±5.3)分,差异有统计学意义( P<0.05)。 1年后回访这些患者,都没有急性脑分水岭梗死状况的复发。结论 结合患急性脑分水岭梗死的患者自身的身体状况,对他们采用血管内介入治疗的方法,能够控制并改善患者的病情,预防患者疾病的复发。     [关键词 ] 急性脑分水岭梗死;血管内介入;临床疗效     [Abstract] Objective To explore the effect of intravascular interventional therapy in patients with acute watershed infarction. Methods from January 2018 to February 2020, 72 patients with acute watershed infarction were selected conveniently, and all of them were treated with intravascular interventional therapy. The stenosis of carotid artery was observed before and after operation, and the neurological deficit of these patients was evaluated. Results after intravascular interventional therapy, 68 patients (94.4%) with acute watershed infarction were relieved of stenosis, and 2 patients (5.6%) turned to mild stenosis. The score of neurological deficit after operation (10.4 ± 2.9) was also lower than that before operation (24.5 ± 5.3), the difference was statistically significant (P < 0.05). One year later, none of the patients had relapse of acute watershed infarction. Conclusion combined with the physical condition of the patients with acute watershed infarction, the method of intravascular interventional therapy can control and improve the patients' condition and prevent the recurrence of the disease.
出处 《世界复合医学》 2020年8期
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出版日期 2020年09月14日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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