摘要
目的分析血管内治疗与静脉溶栓对基底动脉闭塞性卒中患者临床疗效的影响。方法选取南阳市第一人民医院神经内科2018年1月至2021年1月收治的60例基底动脉闭塞性卒中患者为研究对象,利用随机数字表法分为两组,对照组和观察组,每组各30例。对照组采取静脉溶栓治疗,观察组采取血管内治疗,比较两组患者的90 d的改良Rankin量表评估结果、症状性颅内出血发生率、死亡率差异。结果观察组90 d的改良Rankin量表评估结果、症状性颅内出血发生率、死亡率与对照组比较,差异无统计学意义(P>0.05)。结论血管内治疗与静脉溶栓治疗基底动脉闭塞性卒中患者均能够取得较好的临床疗效,临床可根据实际情况合理选用。
Objective To analyze the effect of endovascular therapy and intravenous thrombolysis on patients with basilar artery occlusive stroke.Methods A total of 60 patients with basilar artery occlusive stroke admitted to the department of neurology of the First People’s Hospital of Nanyang from January 2018 to January 2018 were randomly divided into two groups:control group and observation group,each group had 30 cases.Intravenous thrombolytic therapy was used in the control group and endovascular therapy was used in the observation group.The results of evaluation by modified Rankin scale,incidence of symptomatic intracranial hemorrhage and mortality were compared between the two groups at 90 days.Results There was no significant difference in the evaluation results of modified Rankin scale,the incidence and mortality of symptomatic intracranial hemorrhage between the observation group and the control group at 90 days(P>0.05).Conclusion Endovascular therapy and intravenous thrombolytic therapy are effective in the treatment of patients with basilar artery occlusive stroke,it can be selected reasonably according to the actual situation in clinic.
作者
刘崇
刘亚婷
LIU Chong;LIU Yating(Department of Neurology,Nanyang First People’s Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2021年第11期28-30,共3页
Clinical Research
关键词
基底动脉闭塞性卒中
血管内治疗
静脉溶栓
症状性颅内出血发生率
basilar artery occlusive stroke
endovascular therapy
intravenous thrombolysis
incidence of symptomatic intracranial hemorrhage
