颈动脉狭窄患者介入治疗后复发脑卒中的临床分析

Clinical Analysis of Stroke Recurrence After Interventional Treatment for Carotid Artery Stenosis

目的：分析颈动脉狭窄患者介入治疗后复发脑卒中的情况。方法收集2011年1月～2013年12月间我院收治的颈动脉狭窄患者临床资料，按照治疗方案分为药物组（42例）和介入组（56例），随访1~2年观察比较两组治疗后脑卒中复发情况。结果随访1～2年，介入组复发脑卒中7.14%、多发脑梗死3.57%、TIA0.0%，明显低于药物组28.57%、19.05%、11.90%，差异均具有统计学意义（P＜0.05）。结论介入治疗颈动脉狭窄可有效预防脑卒中，改善患者预后。

Objective To analyze the characteristics of recurrent stroke in patients with carotid artery stenosis after interventional therapy. Methods The clinical data of patients with carotid artery stenosis from 2011 January to 2013 December in our hospital treated according to the treatment plan, divided into drug group （42 cases） and intervention group （56 cases）, followed up for 1~2 years were compared between the two groups of treatment of cerebral stroke recurrence. Results The patients were followed up for 1~2 years, the intervention group the recurrence of stroke in 7.14%, multiple cerebral infarction in 3.57%, TIA0.0%, significantly lower than the medication group of 28.57%, 19.05%, 11.90%, the difference was statistically significant （P〈0.05）. Conclusion Interventional treatment for carotid artery stenosis can be effective in preventing stroke, improve the prognosis of the patients.