血管内介入栓塞术对颅内动脉瘤破裂患者围手术指标、神经功能的影响

Effect of Intravascular Interventional Embolization on Perioperative Indexes and Neurological Function in Patients with Ruptured Intracranial Aneurysm

目的分析血管内介入栓塞术在颅内动脉瘤破裂患者中的应用效果.方法选取2019年1月—2022年6月本院收治的81例颅内动脉瘤破裂患者,按随机数字表法分为两组.对照组40例行显微外科动脉瘤夹闭术,观察组41例行血管内介入栓塞术,均观察至术后3个月.对比两组围手术期指标、神经功能、并发症.结果两组手术时间相比,差异无统计学意义(P>0.05).观察组术中出血量(131.57±8.15)mL少于对照组,住院时间(12.13±2.06)d短于对照组,并发症发生率4.88%低于对照组,组间差异有统计学意义(P<0.05).术前,两组美国国立卫生研究院卒中量表(NIHSS)评分相比,差异无统计学意义(P>0.05);术后,观察组NIHSS评分(7.31±0.88)分低于对照组,差异有统计学意义(P<0.05).结论血管内介入栓塞术在颅内动脉瘤破裂患者中的作用明显,其术中出血量更少,患者住院时间更短,神经功能恢复更快,并发症发生风险更低,临床应用价值较高,可大力推行.

Objective To analyze the application effect of intravascular interventional embolization in patients with ruptured intracranial aneurysm.Methods A total of 81 patients with ruptured intracranial aneurysm admitted to the hospital from January 2019 to June 2022 were selected and divided into two groups according to random number table method.40 patients in the control group underwent microsurgical aneurysm clipping,and 41 patients in the observation group underwent intravascular interventional embolization,all of which were observed until 3 months after surgery.Perioperative indexes,neurological function and complications were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05).The intraoperative blood loss in the observation group(131.57±8.15)mL was less than that in the control group,the length of hospital stay(12.13±2.06)d was shorter than that in the control group,and the complication rate of 4.88%was lower than that in the control group,the differences between the groups were statistically significant(P<0.05).Before surgery,there was no significant difference in National Institutes of Health stroke scale(NIHSS)scores between the two groups(P>0.05);after operation,NIHSS score of observation group(7.31±0.88)points was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion Intravascular interventional embolization plays an obvious role in patients with ruptured intracranial aneurysm,with less intraoperative blood loss,shorter hospital stay,faster recovery of neurological function,lower risk of complications,high clinical application value,and can be vigorously implemented.