神经介入治疗缺血性脑血管疾病的近远期疗效及并发症观察分析

发布时间：2018-05-15 14:03

本文选题：神经介入 + 缺血性脑血管　；参考：《中国医药导刊》2016年10期

【摘要】：目的:对神经介入治疗缺血性脑血管疾病的近远期疗效及并发症进行观察分析。方法:选取2013年5月~2015年9月在我院收治的148例缺血性脑血管疾病患者,随机分为观察组和对照组(每组各74例),观察组患者给予静脉溶栓治疗,对照组患者给予动静脉联合溶栓神经介入治疗。对比分析两组患者治疗前后血管再通情况、神经功能缺损评分(NIHSS)及并发症发生情况。结果:观察组患者病变血管再通人数明显优于对照组(P0.05),观察组患者治疗后1个月、6个月、12个月的NIHSS评分均明显优于对照组(P0.05),观察组患者并发症人数明显低于对照组(P0.05)。结论:神经介入治疗缺血性脑血管疾病近远期效果明显,可有效使患者病变血管得到改善,恢复受损神经功能,安全有效并发症少,提高患者术后生活质量。
[Abstract]:Objective: to observe and analyze the short-and long-term effects and complications of nerve interventional therapy for ischemic cerebrovascular diseases. Methods: 148 patients with ischemic cerebrovascular diseases admitted in our hospital from May 2013 to September 2015 were randomly divided into observation group and control group (74 cases in each group). The patients in observation group were treated with intravenous thrombolytic therapy. The patients in the control group were treated with arteriovenous combined thrombolytic nerve interventional therapy. The recanalization of blood vessels, neurological impairment score (NIHSS) and complications were compared between the two groups before and after treatment. Results: the number of recanalization of diseased vessels in the observation group was significantly better than that in the control group (P 0.05). The NIHSS score of the observation group was significantly better than that of the control group at 1 month, 6 months and 12 months after treatment, and the number of complications in the observation group was significantly lower than that in the control group. Conclusion: the short-term and long-term effect of nerve interventional therapy for ischemic cerebrovascular diseases is obvious. It can effectively improve the diseased blood vessels, recover the damaged nerve function, have less safe and effective complications, and improve the quality of life of the patients after operation.
【作者单位】：山东聊城市第三人民医院神经内科;
【分类号】：R743.3

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