动脉血管内支架取栓治疗急性脑梗死效果观察

Evaluation of efficacy of stent arterial embolectomy in treating acute cerebral infarction

目的观察动脉血管内支架取栓治疗急性脑梗死的疗效。方法收集医院2015年1月-2016年4月手术治疗急性脑梗死患者26例,使用美国国立卫生研究院卒中量表(NIHSS)对患者入院后及术后2周进行评分,并对术后NIHSS评分进行多元线性回归分析。结果术后2周NIHSS评分为(5.6±4.3)分低于术前的(12.2±5.9)分,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,性别、年龄、有无高血压、有无糖尿病、有无房颤、取栓次数、责任血管等自变量差异无统计学意义(P>0.05)。结论血管内支架取栓术能够提高大血管闭塞的再通率。

Objective To observe the efficacy of stent arterial embolectomy in treating acute cerebral infarction.Methods 26 cases of acute cerebral infarction treated by surgical treatment from January 2015 to April 2016 in hospital. The National Institutes of Health Stroke Scale（NIHSS） was used to score the patients after admission and two weeks after operation. The multiple linear regression analysis was used to analyze the NIHSS score of the patients after operation. Results Two weeks after the operation,the score of NIHSS was（5. 6 ± 4. 3） points,which was below the preoperative with（12. 2 ± 5. 9）points,and the difference was statistically significant（P〈0. 05）. There was no significant difference in gender,age,high blood pressure,diabetes,atrial fibrillation,embolectomy times and responsible vessel. Conclusion Stent arterial embolectomy can improve the repassage rate of large vascular occlusion.