早期介入栓塞治疗73例脑动脉瘤破裂的临床效果分析.docxVIP

早期介入栓塞治疗73例脑动脉瘤破裂的临床效果分析 　　[摘要] 目的 探讨脑动脉瘤破裂应用早期介入栓塞治疗的临床效果。方法 方便选择该院XX年10月―XX年3月接收的脑动脉瘤破裂患者73例，标记为早期组，于入院3 d内给予患者介入栓塞治疗，另选取同期接收的脑动脉瘤破裂患者70例，标记为对照组，于入院3 d后实施介入栓塞治疗，观察两组患者栓塞情况，随访6个月，评价6个月后患者神经功能、生活自理能力。 结果 早期组完全栓塞率%、MBI评分分，高于对照组%、分；早期组次完全栓塞率%、不完全栓塞率%、mRS评分分，低于对照组%、%、分；差异有统计学意义。 结论 脑动脉瘤破裂应用早期介入栓塞治疗时，可提高治疗效果，促进患者康复，改善患者预后情况。　　[关键词] 早期介入栓塞治疗；脑动脉瘤破裂；临床疗效　　[中图分类号] [文献标识码] A [文章编号] 1674--0077-03　　[Abstract] Objective This paper tries to discuss the clinical effect of early interventional embolization in the treatment of ruptured cerebral aneurysms. Methods 73 cases of patients with cerebral aneurysm rupture in the hospital from October XX to March XX were convenient selected， marked as the early group， the patients were given interventional treatment within three days after admission， 70 patients of cerebral aneurysm rupture received in the same period were selected marked as control group， interventional embolic treatment was implemented in the hospital after three days， observe two groups of patients with embolism and after 6 months of follow-up， evaluation of neurological function after 6 months， self-care ability was carried out. Results The early group complete embolization was %， MBI score points， higher than the control group of % points； early group complete embolization was %， incomplete embolization rate was %， mRS score points， lower than the control group of %， %， points； the difference was significant . Conclusion Early interventional embolization can improve the treatment effect， promote the rehabilitation of patients， and improve the prognosis of patients with ruptured aneurysm of the brain.　　[Key words] Early interventional embolization treatment； Cerebral aneurysm rupture； Clinical curative effect　　脑动脉瘤是指局限性??常扩大脑动脉内腔造成动脉壁瘤状突出，先天性缺陷、提升腔内压力为主要导致该疾病的原因。脑动脉瘤破裂出血后，可提高患者的死亡率及致残率，据报道，死亡率可达到%，而致残率则在50%以上，对患者生命安全及生命质量产生严重的影响[1]。目前，临床上最为有效的治疗脑动脉瘤破裂的方法为介入栓塞治疗，优点为医源性创伤低、无需开颅、术后可快速恢复等，不过，临床中仍然未统一具体的介入栓塞治疗开展时机，争议较大[2]。因此，该研究以该院XX年10月―XX年3月接收的脑动脉瘤破裂患者73例为研究对象，