动脉溶栓联合血管内支架植入在治疗急性脑梗死患者中的应用.docx
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1、动脉溶栓联合血管内支架植入在治疗急性脑梗死患者中的应用李超平+李递通+陈锦俭Summary目的探讨动脉溶栓联合血管内支架植入在治疗急性脑梗死患者中应用的效果及安全性。方法将62例急性脑梗死患者随机分为支架组和药物组,每组31例。支架组患者在尿激酶动脉溶栓后联合血管内支架植入治疗;药物组在尿激酶动脉溶栓后以常规药物治疗。于术后1、7、14、21d进行NIHSS评分,并综合评定预后及血管再通情况。结果 支架组NIHSS评分明显低于药物组,显效率、有效率和血管再通率分别为80. 7%、100. 0%和100. 0%,明显高于药物组的38.7%、61. 3%和61. 3% (P0. 05)。结论 动脉
2、溶栓联合血管内支架植入在治疗急性脑梗死患者中应用,效果确切,并发症少,是一种安全有效的治疗方法。Key尿激酶;动脉溶栓;血管内支架植入;急性脑梗死R743. 3A2095-0616 (2014) 11-09-05The application with intra-arterial thrombolytic therapy andendovascular sent implantation on the patients of acute cerebralinfarctionLI Chaoping LI Ditong CHEN JinjianDepartment of Neurology,th
3、e Second People1s Hospital of Yulin City ofGuangxi,Yulin 537000,ChinaAbstract Objective To discuss the safety and efficacy of intra-arterial thrombolytic therapy in combination with endovascular sentimplantation on the patients of acute cerebral infarction. Methods 62patients with acute cerebral Inf
4、arction were divided into twogroups, the stent group and the medicine group,31 cases in eachgroup. The patients in the stent group were treated with endovascularstent therapy after intra-arterial thrombolysis therapy, whi1e thepatients in the medicine group were treated with drug. TheNIHSS(National
5、Institutes of Health Stroke Scale)scores ,theComprehensive evaluation of the prognosis and the condition ofrecanalization of blood vessel were evaluated on the 1st day,7th,14thas we11 as 21th day after PTA. Results The scores of NIHSS in thestent group were lowered than the medicine group. The signi
6、ficantefficiency was 80. 7%,the effective rate was 100. 0%and thereunobstructed rate was 100. 0% in the stent group,were significantlyhigher than that of drug group,when they were 38. 7%,61. 3% and 61. 3%(P0.05) o所有病例均符合全国第四届脑血管病学术会议修订的关于急性脑梗死诊断标准以及动脉溶栓适用证:(1)发病时间不超过6h,患者体征持续存在lh以上,N1HSS评分24分;(2)头部C
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- 动脉 联合 血管 支架 植入 治疗 急性 脑梗死 患者 中的 应用