【摘要】 目的 探究血管内支架成形术治疗颈动脉狭窄性短暂性脑缺血发作的效果。方法 选择2021年5月-2022年5月本院收治的颈动脉狭窄性短暂性脑缺血患者100例，分为观察组（血管内支架成形术）和对照组（常规药物治疗），每组各50例。对比两组间的神经功能缺损评分、病变狭窄率、生活质量评分、并发症发生情况等。结果 两组治疗前病变狭窄率对比无统计学意义（P>0.05），治疗后观察组低于对照组，差异有统计学意义（P<0.05）；观察组社会、环境、躯体、心理评分高于对照组，差异有统计学意义（P<0.05）；两组治疗前神经功能缺损评分无意义（P>0.05），治疗后观察组低于对照组，由此可见，患者采取血管内支架成形术治疗模式，神经功能缺损程度得到改善和提升，差异有统计学意义（P<0.05）；观察组不良反应1例（2.00%），明显低于对照组的高灌注综合征、皮疹、头晕恶心9例（18.00%），差异有统计学意义（P<0.05）。结论 针对颈动脉狭窄性短暂性脑缺血患者，采用血管内支架成形术治疗，使患者临床疗效和生活质量得到了提升，使神经功能缺损程度得到了改善，防止并发症的发生，值得临床推广。更多还原

【Abstract】 Objective: To investigate the effect of endovascular stenting in the treatment of carotid artery stenosis Transient ischemic attack. Method: 100 patients with transient cerebral ischemia caused by carotid artery stenosis admitted to our hospital from May 2021 to May 2022 were selected and divided into an observation group(endovascular stenting) and a control group(conventional drug treatment),with 50 patients in each group. Compare the neurological deficit score, stenosis rate, quality of life score,and incidence of complications between the two groups. Result: There was no statistically significant difference in the stenosis rate between the two groups before treatment(P>0.05), but after treatment, the observation group was lower than the control group, with a statistically significant difference(P<0.05);The social, environmental, physical, and psychological scores of the observation group were higher than those of the control group, and the difference was statistically significant(P<0.05); There was no significant difference in neurological function defect scores between the two groups before treatment(P>0.05), and the observation group was lower than the control group after treatment. Therefore, it can be seen that the degree of neurological function defect was improved and improved through the use of intravascular stenting treatment mode in patients, with a statistically significant difference(P<0.05); One case(2.00%) of adverse reactions in the observation group was significantly lower than 9 cases(18.00%) of hyperperfusion syndrome, rash, dizziness, and nausea in the control group, with a statistically significant difference(P<0.05). Conclusion: For patients with transient cerebral ischemia caused by carotid artery stenosis, the use of intravascular stent angioplasty has improved the clinical efficacy and quality of life of the patients,improved the degree of neurological impairment, and prevented the occurrence of complications. It is worth promoting in clinical practice.更多还原