摘要
目的探讨颈动脉内膜剥脱术对防治脑卒中的临床效果及意义。方法选择茂名市人民医院2006年2月至2013年2月收治的经检查确诊为缺血性脑卒中的患者80例，按照患者及家属自愿原则分为两组，对照组每日给予阿司匹林，并进行临床危险因素控制，采用颈动脉内膜剥脱治疗的40例患者为观察组，观察两组治疗情况及治疗后24个月内脑卒中发生率、病死率，并进行统计学分析比较。结果观察组患者脑缺血症状有明显改善，围术期内未出现死亡及脑卒中事件。随访24个月出现死亡1例，脑卒中3例，未出现严重并发症，且患者的生活质量有明显改善。对照组脑卒中发生11例，死亡3例，且患者脑缺血症状无明显改善，观察组患者脑卒中发生率、致残致死率低于对照组，症状改善高于对照组，差异有统计学意义。结论颈动脉内膜剥脱术手术效果显著，可降低脑卒中发生率，临床上可结合患者实际情况进行推广。
Objective To investigate the clinical effects of carotid endarterectomy on prevention of stroke. Methods From February 2006 to February 2013, 80 cases of ischemic strokein in Maoming people＇ s hospital were selected. According to the principle of voluntary, the patients were divided into two groups, the patients in control group were given daily aspirin and clinical risk factor control, and ca- rotid endarterectomy was given for the treatment of 40 patients in the observation group. The stroke inci- dence, mortality rate within 24 months were statistically analyzed. Results The cerebral ischemic symp- toms improved markedly in observation group, death and stroke events did not occur during the operation period. During follow up of 24 months, died in 1 case, 3 cases of cerebral apoplexy, no serious complica- tion, and the patient＇ s quality of life improved significantly. In the control group, stroke occurred in 11 cases, 3 cases of death, no obvious improvement, the stroke incidence, fatality rate were lower than that of the control group, the improvement of symptoms was higher than that of the control group, the differ- ences were significant. Conclusions Carotid endarterectomy surgery has goog effect, can reduce the in- cidence of stroke, can be promoted in clinical practice.
出处
《中国实用医刊》
2015年第13期9-10,共2页
Chinese Journal of Practical Medicine
