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颅内血管介入治疗缺血性脑血管病的效果和安全性评价

Evaluation of Efficacy and Safety of Intracranial Vascular Interventional Therapy for Ischemic Cerebrovascular Disease
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摘要 目的分析在缺血性脑血管病患者的临床干预中对患者采取颅内血管介入治疗的临床疗效。方法将长春市中医院(总部)于2020年6月-2021年6月接收的缺血性脑血管病患者作为本次观察对象,共880例,按照随机数字表法将患者分为观察组和对照组,对比分析两组患者在分别干预后的临床疗效、RI、Vm水平变化、NIHSS、FMA评分。结果在两组患者分别治疗后分析患者的临床疗效可见,观察组患者疗效明显更优(P<0.05);在两组患者分别治疗前分析患者的RI、Vm水平,未见明显差异(P>0.05),而在治疗后分析可见,观察组患者RI明显更低,Vm水平明显更高,对比统计学差异明显(P<0.05);在两组患者分别干预前分析NIHSS、FMA评分,未见明显差异(P>0.05),但在治疗后分析可见,观察组患者NIHSS评分更低,FMA评分更高,对比统计学差异明显(P<0.05)。结论在缺血性脑血管病患者的临床干预中对患者采取颅内血管介入治疗可有效提高患者的临床疗效,并能够显著改善患者的肢体功能,患者神经损伤程度更低,相较于常规治疗措施更有利于患者术后康复,对脑神经的保护效果更好,安全性更高,值得临床广泛应用。 Objective To analyze the clinical effect of intracranial vascular interventional therapy in patients with ischemic cerebrovascular disease.Methods A total of 880 patients with ischemic cerebrovascular disease who were treated in Changchun Hospital of Traditional Chinese Medicine(Headquarters)from June 2020 to June 2020 were divided into observation group and control group according to random number table,and the clinical efficacy,RI,Vm level,NIHSS and FMA scores of the two groups were compared and analyzed.Results After the two groups of patients were treated respectively,the clinical efficacy of the patients was analyzed,the patients in the observation group were significantly better(P<0.05).There was no significant difference in RI and Vm levels between the two groups before treatment(P>0.05),while after treatment,the patients in the observation group had significantly lower RI and higher VM levels,with significant comparative statistical difference(P<0.05).There was no significant difference in NIHSS and FMA scores between the two groups before intervention(P>0.05),but the NIHSS score was lower and FMA score was higher in the observation group after treatment(P<0.05).Conclusion In the clinical intervention of patients with ischemic cerebrovascular disease,intracranial vascular intervention can effectively improve the clinical efficacy of patients,and can significantly improve the limb function of patients,patients with lower degree of nerve injury,compared with the routine treatment.It is more beneficial to the patients’recovery after operation,with better protective effect and higher safety,and is worthy of wide clinical application.
作者 耿迪 徐斌 GENG Di;XU Bin(Interventional Department,Changchun Hospital of Traditional Chinese Medicine(Headquarters),Changchun,Jilin,130000)
出处 《智慧健康》 2022年第17期74-77,共4页 Smart Healthcare
关键词 颅内血管介入 缺血性脑血管病 安全性 Intracranial vascular intervention Ischemic cerebrovascular disease Safety
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