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血管内介入治疗联合静脉溶栓治疗急性缺血性卒中的疗效
Intravascular interventional therapy combined with intravenous thrombolytic therapy for acute ischemic stroke
【摘要】 目的观察血管内介入治疗联合静脉溶栓治疗急性缺血性卒中的疗效。方法选取80例2015年9月-2016年12月期间接收的急性缺血性卒中患者,将其依照不同治疗方式分为观察组和对照组。对照组采取单一静脉溶栓治疗方式,观察组采取血管内介入治疗联合静脉溶栓治疗方式,探究对比两组患者的治疗成效。结果观察组的神经功能改善率为95.0%(38/40),明显高于对照组的72.5%(29/40),而颅内出血发生率2.5%(1/40)明显低于对照组的12.5%(5/40),差异明显(P<0.05);另外,术后3个月,观察组患者的生理功能、精神健康、社会功能、生理职能、情感状况、健康状况指标评分均明显高于对照组,差异明显(P<0.05)。结论对急性缺血性卒中患者采取血管内介入治疗联合静脉溶栓治疗方式,可有效改善其病情,临床治疗成效显著,具有一定安全有效性,充分体现其应用价值,可进一步推广和采纳。
【Abstract】 Objective To observe the effect of intravascular interventional therapy combined with intravenous thrombolysis in the treatment of acute ischemic stroke. Methods 80 patients in this study were selected from the acute ischemic stroke patients admitted to our hospital from September 2015 to December 2016. They were divided into observation group and control group according to different treatment methods. The control group was treated by single thrombolytic therapy, and the observation group was treated by intravascular interventional therapy combined with intravenous thrombolysis. The efficacy of the two groups was compared. Results In the observation group, the neurological function improvement rate was 95%(38/40), significantly higher than the control group 72.5%(29/40), and the incidence of intracranial hemorrhage 2.5%(1/40) was significantly lower than the control group 12.5%(5/40), with significant difference(P<0.05); in addition, 3 months after the operation, the index of physiological function, mental health, social function, physical function, emotional status, health status scores of patients in the observation group were significantly higher than the control group, the difference was obvious, the establishment(P<0.05). Conclusion Endovascular interventional therapy combined with thrombolytic therapy for acute ischemic stroke can effectively improve the condition of the disease. The clinical effect is remarkable, and it is safe and effective, which fully reflects its application value and can be further promoted and adopted.
【Key words】 Intravascular interventional therapy; Intravenous thrombolysis; Acute ischemic stroke;
- 【文献出处】 心电图杂志(电子版) ,Journal of Electrocardiogram(Electronic Edition) , 编辑部邮箱 ,2018年02期
- 【分类号】R743.3
- 【被引频次】1
- 【下载频次】43