急性脑梗死超早期静脉溶栓配合血管内治疗临床疗效分析.docVIP

精品论文 参考文献 急性脑梗死超早期静脉溶栓配合血管内治疗临床疗效分析 1 开封市中心医院 神经内科 475000 　　 2.黑龙江省电力医院 神经内科 150030 　　【摘要】目的：分析急性脑梗死超早期静脉溶栓配合血管内治疗的临床疗效。方法：选择2010年1月至2015年1月收治的急性脑梗死患者,静脉溶栓组，好转23例,再通治疗后残存严重狭窄（狭窄率大于70%）的急性脑梗死患者27例，采用血管内支架成形术治疗（血管内治疗组）。通过NIHSS评分、Rankin量表评价两组患者的预后情况。结果：在NIHSS评分、mRs评分方面血管内治疗组均优于静脉溶栓组，且差异具有统计学意义，Plt;0.05.结论：急性脑梗死超早期采用静脉溶栓配合血管内治疗对患者预后有积极作用，具有临床指导意义。 　　【关键词】急性脑梗死；超早期；静脉溶栓；血管内治疗； 　　【中图分类号】 R741.05 　　Super early intravenous thrombolysis of acute cerebral infarction with 　　endovascular treatment clinical curative effect analysis 　　JIA Yong-lin 1 YIN Shi-qi2 ZHANG Bao-hua 1 FU-Zhi-xin1 　　1.Neurology department Kaifeng city central hospital Henan 475000 China 　　2.Neurology department Electric Power Hospital Heilongjiang 150030 China 　　【 Abstract 】 objective: to analysis in super early intravenous thrombolysis with acute cerebral infarction clinical curative effect of endovascular treatment.Methods: between January 2010 and January 2015 patients with acute cerebral infarction, improvement in 23 cases (intravenous thrombolysis group), recanalization after treatment residual severe stenosis (stenosis rate greater than 70%) of 27 patients with acute cerebral infarction were treated with endovascular stent angioplasty (endovascular treatment group).Assess residual vascular stenosis rate through the NIHSS score, Rankin scale evaluation of two groups of patients prognosis.Results: the NIHSS score, mRs scores for endovascular treatment group were better than intravenous thrombolysis group, and the difference is statistically significant, P lt; 0.05. Conclusion: super early intravenous thrombolysis in acute cerebral infarction with produce positive effects on prognosis of patients with endovascular treatment, and have clinical significance. 　　【 Key words 】 acute cerebral infarction;Super early;Intravenous thrombolysis.Endovascular treatment; 　　急性脑梗死的主要病因是动脉粥样硬化性血栓形成和栓塞[1]。静脉溶栓是唯一具有循证医学证据的治疗方式，但是高并发症发生率和时间窗对大部分患者的治疗机会造成了一定制约[2]。本研究主要分析了急性脑梗死超早期静脉溶栓对比静脉溶