颈动脉狭窄与缺血性脑血管病临床诊治体会

Experience of clinical diagnosis and treatment of ischemic cerebrovascular disease caused by carotid stenosis

目的探讨由颈动脉狭窄引发缺血性脑血管病患者临床正确诊断与治疗方法,为提高此类患者疗效提供可靠依据,保障患者生活质量与生命安全。方法对35例由颈动脉狭窄引发缺血性脑血管病患者临床资料进行回顾性分析,内容包括患者诊断方法、治疗方法、治疗效果等,对所得资料进行统计,得出结论。本文35例患者均采用氯吡格雷联合辛伐他汀药物保守治疗,若患者患有高血压、糖尿病等原发疾病,则应给予针对性的疾病控制措施。结果 35例颈动脉狭窄引发缺血性脑血管病患者均采用药物治疗(100.00%),且有效率高达100.00%,经随访6个月可知,仅8.57%患者发生再狭窄情况,临床治疗效果较为满意。结论临床医师应根据缺血性脑血管疾病患者实际情况及各项临床检查结果进行综合判断,从而确诊发病原因并制定正确治疗方案,提高患者治疗效果,保障其生活质量及生命安全。

Objective To investigate the proper clinical diagnosis and treatment of ischemic cerebrovascular disease （ICD） caused by carotid stenosis, and to provide a reliable basis for improving the treatment outcome of the patients with this disease and ensure their quality of life and life safety. Methods A retrospective analysis was performed on the clinical data of 35 patients with ICD caused by carotid stenosis, including diagnostic method, treatment method, and treatment outcome. The obtained data were statistically analyzed. All patients received conservative treatment with clopidogrel plus simvastatin; those with hypertension, diabetes, and other primary diseases were given specific intervention for disease control. Results All the 35 patients （100%） with ICD caused by carotid stenosis received medication, with a response rate of 100.00%. Six months of follow-up showed that only 8.57% of them had restenosis, with a satisfactory clinical effect. Conclusion Clinicians should make comprehensive judgment according to the actual condition of ICD patients and their clinical examination results to identify the cause of disease and make the proper treatment plan, thus improving the treatment outcome of patients and ensuring their quality of life and life safety.