选择性动脉内溶栓治疗急性缺血性中风的疗效观察

Clinical study on efficacy of selective cerebral arterial thrombolysis for acute ischemia cerebral apoplexy

目的 观察急性中风病人选择性动脉内溶栓治疗的效果。方法 对 1 5例急性缺血性中风病人进行选择性动脉溶栓。溶栓前后按照卒中病人神经病学缺损程度评分标准进行神经功能缺损评分及临床疗效评定 ,并进行血管影像学评价。结果 1 5例病人中有 9例缺血后完全再灌注 (占 60 % ) ,3例缺血后部分再灌注 (占 2 0 % )。治疗后病人神经病学缺损评分显著下降 ,总有效率 80 % ,显效率 66 7%。结论 选择性动脉溶栓治疗急性缺血性中风安全、有效。

Objective To study the efficacy of selective cerebral arterial thrombolysis with urokinase(UK) for acute ischemia cerebral apoplexy.Methods 15 cases of acute ischemia cerebral apoplexy were given selective cerebral arterial thrombolysis with UK.According to the standard of clinical nervous function and defect degree,we judged the curative effect before and after treatment,and evaluated the radiography.Results Of 15 cases there were 9 with entirety reperfusion(60%),3 cases showed part reperfusion(20%).It obviously decreased standard of clinical nervous function and defect degree on after treatment.The overall effective rate amounted to 80%,marked effective rate 66.7%.Conclusion The selective cerebral arterial thrombolysis is effective and safe in the treatment of acute ischemia cerebral apoplexy.