摘要
目的 探究急性后循环脑梗死(acute posterior circulation infarction,APCI)血管内支架取栓效果的影响因素。方法 回顾性分析2020年10月—2023年2月期间聊城市第三人民医院收治的125例行血管内支架取栓的APCI患者的临床资料,根据患者血管取栓术后血管再通情况评估支架取栓术后疗效,并分为无效组(17例)及有效组(108例)。Logistic回归分析影响APCI患者血管内支架取栓效果的因素。结果 125例患者中108例支架取栓有效,17例治疗无效,治疗有效率为86.40%;无效组梗死至手术时间、美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、取栓次数与侧支循环不良人数均高于有效组,差异有统计学意义(P<0.05);经Logistic回归分析,结果显示梗死至手术时间长、NIHSS评分高、取栓次数≥3次与侧支循环不良是影响APCI患者支架取栓无效的独立危险因素(OR=3.651、3.796、4.116、3.370,95%CI为1.605~8.305、1.669~8.636、1.810~9.364、1.482~7.667)。结论 血管内支架取栓治疗APCI具有良好的治疗效果,其取栓效果受到梗死至手术时间、NIHSS评分、取栓次数及侧支循环不良的影响,临床应对上述因素予以重视。
Objective To explore the influencing factors of the effect of endovascular stent thrombectomy in acute pos‐terior circulation infarction(APCI).Methods From October 2020 to February 2023,retrospective analysis of the clini‐cal data of 125 patients with APCI treated in Liaocheng Third People´s Hospital who underwent thrombectomy with endovascular stents.The curative effect after stent thrombectomy was evaluated according to the recanalization status of the patients after vascular thrombectomy,and they were divided into an ineffective group(17 cases)and an effective group(108 cases).Logistic regression analysis was used to analyze the factors affecting the effect of endovascular stent thrombectomy in patients with APCI.Results Among the 125 patients,108 cases were effective in stent removal,and 17 cases were ineffective.The effective rate of treatment was 86.40%.The time from infarction to operation,the Na‐tional Institutes of Health Stroke Scale(NIHSS)score,the number of times of thrombectomy and the number of poor collateral circulation in the ineffective group were all higher than those in the effective group,and the difference was statistically significant(P<0.05).Logistic regression analysis showed that long time from infarction to operation,high NIHSS score,times of thrombectomy≥3 times,and poor collateral circulation were independent risk factors affecting the failure of stent thrombectomy in patients with APCI(OR=3.651,3.796,4.116,3.370,95%CI was 1.605-8.305,1.669-8.636,1.810-9.364,1.482-7.667).Conclusion Endovascular stent thrombectomy has a good therapeutic effect in the treatment of APCI.The effect of thrombectomy is affected by the time from infarction to operation,NIHSS score,times of thrombectomy and poor collateral circulation.Clinical attention should be paid to the above factors.
作者
常钦达
史普坤
巩涛
CHANG Qinda;SHI Pukun;GONG Tao(Liaocheng Third People´s Hospital,Liaocheng,Shandong Province,252400 China)
出处
《系统医学》
2023年第9期25-29,共5页
Systems Medicine
关键词
急性后循环脑梗死
支架取栓
影响因素
Acute posterior circulation cerebral infarction
Stent removal
Influencing factors
