摘要
目的观察Solitaire AB型支架取栓术对急性脑动脉闭塞的疗效。方法选取2016年1月~2017年2月就诊于该院并行Solitaire AB型支架取栓术的急性脑动脉闭塞的28例患者的临床相关资料,比较患者在术前、术后14d的NIHSS评分、NDS评分、FMA评分、Barthel指数评分。结果 28例患者通过不同次数的取栓术,27例成功恢复再通。术前NIHSS评分为(17.6±4.9)分、NDS评分为(35.0±5.7)分,术后14d分别为(12.8±3.6)、(24.9±9.1)分、前后比较术后评分减低(P<0.05);术前FMA评分为(15.6±4.9)分,术后FMA评分为(23.6±6.9)分,术后较术前评分升高,差异有统计学意义;而Barthel指数评分术前术后比较,差异无统计学意义(P>0.05)。术后不良反应及并发症少,死亡率较低。结论采用Solitaire AB型支架取栓术治疗急性脑动脉闭塞再通率较高,并发症及不良反应少,疗效确切。
Objective To observe the efficacy of Solitaire AB stent embolectomy in the treatment of acute cerebral artery embolism. Methods The clinical data of 28 patients with acute cerebral artery embolism with Solitaire AB stent embolectomy from January 2016 to February 2017 in the hospital were collected. The NIHSS score, NDS score, FMA score and Barthel index score before the surgery and after it for 14 days were compared. Results 28 cases were treated with different times of thrombectomy, and 27 cases were successfully reopened. Preoperative NIHSS score was （17.6±4.9） and NDS score was （35.0±5.7）. 14 days after operation, the two scores were （12.8±3.6） score and （24.9±9.1） score, the score of postoperative comparison was reduced（P 〈0.05）. The preoperative FMA score was （15.6±4.9） scores, and the postoperative FMA score was （23.6±6.9） scores and the postoperative score was higher than the preoperative score. The difference was statistically significant. There was no significant difference between the Barthel index scores before and after the operation （P 〉0.05）. The postoperative adverse reactions and complications were less, and the mortality was low. Conclution The Solitaire AB stent embolectomy in treating acute cerebral artery embolism has higher patency rate and less secondary reactions. The curative effect is obvious.
出处
《中国医药科学》
2017年第23期250-252,共3页
China Medicine And Pharmacy
