不同方式治疗急性后循环脑梗死临床对比研究

Comparative Study of Acute Posterior Circulation Infarct by Different Approaches

目的探讨急性后循环脑梗死患者采取不同方式治疗的临床效果。方法选取2013年6月～2015年6月收治的急性后循环脑梗死患者68例,随机分为两组,各34例。对照组采取动脉溶栓治疗,观察组采取动静脉联合溶栓治疗,对比两组血管再通率、治疗前后NIHSS评分情况。结果观察组血管再通率为76.47%,高于对照组55.88%,差异显著（P〈0.05）;观察组治疗后1 h、24 h NIHSS评分分别为（14.0±2.3）分、（8.1±2.2）分,均低于对照组（15.8±1.7）分、（9.5±1.7）分,差异显著（P〈0.05）。结论动静脉联合溶栓治疗急性后循环脑梗死可明显提高血管再通率,减轻神经功能缺损。

Objective To discuss the clinical effect of acute posterior circulation infarct by different approaches. Methods Selected 68 cases of patients with acute posterior circulation infarct from June 2013 to June 2015, which were randomly divided into two groups, each group had 34 cases. The control group was treated by intra-arterial thrombolysis, and the treatment group was treated by combined intravenous and intra-arterial thrombolysis. To compared the recanalization rate of blood vessel and grade of NIHSS of pretherapy and post-treatment. Results The recanalization rate of blood vessel was 76.47% of the treatment group, that higher than the 55.88% of the control, there was statistical significance（P〈0.05）. The grade of NIHSS of the 1 hours, 24 hours of post-treatment of the treatment group was（14.0±2.3） and（8.1±2.2）, that lower than the（15.8±1.7）and（9.5±1.7）of the control, there was statistical significance（P〈0.05）. Conclusion That able to significantly improve the recanalization rate of blood vessel, and relieve the neurologic impairment of the acute posterior circulation infarct by different approaches.