一站式介入治疗ASCVD左侧大脑中动脉M1段+基底动脉+右冠状动脉狭窄

One-stop Interventional Treatment of ASCVD Left Middle Cerebral Artery M1 Segment + Basilar Artery + Right Coronary Artery Stenosis

目的评价一站式介入治疗动脉粥样硬化性心血管疾病(atherosclerotic cardiovascular disease,ASCVD)的有效性及安全性。方法选取该院在2018年12月—2020年2月收治的动脉粥样硬化性心血管疾病10例患者作为该次研究的研究目标,以患者的治疗方法为分组依据,分别为观察组(n=5)和对照组(n=5)。观察组患者通过一站式介入治疗,对照组患者通过常规的治疗方法,对两组患者的治疗总有效率以及平均住院时间、并发症的发生概率进行比较,评价一站式介入治疗的治疗效果。结果观察组患者的治疗总有效率为100.0%(5/5),康复患者有3例,显效患者有1例,有效患者有1例,无效患者有0例,对照组患者的治疗总有效率为60.0%(3/5),康复患者有0例,显效患者有1例,有效患者有2例,无效患者有2例,组间差异有统计学意义(χ^2=15.322,P<0.05);观察组患者的平均住院时间为(6.2±1.3)d,并发症的发生概率为0.0%(0/5),对照组患者的平均住院时间为(9.4±2.2)d,并发症的发生概率为40.0%(2/5),组间差异有统计学意义(t=6.266,χ^2=16.325,P<0.05)。结论在ASCVD患者中,一站式介入治疗术改善血管狭窄,进一步减轻患者痛苦,安全性可接受,减少并发症,是有效可行的。支架置入可防止狭窄动脉发生再闭塞。

Objective To evaluate the effectiveness and safety of one-stop interventional therapy for atherosclerotic cardiovascular disease(ASCVD).Methods The 10 patients with atherosclerotic cardiovascular disease admitted to the hospital from December 2018 to February 2020 were selected as the research objectives of this study.Based on the treatment methods of the patients,they were divided into observation group(n=5)and the control group(n=5).Patients in the observation group received one-stop interventional therapy,and patients in the control group used conventional treatment methods to compare the total effective rate of treatment,the average length of stay and the probability of complications of the two groups of patients,and evaluate the therapeutic effect of one-stop interventional therapy.Results The total effective rate of treatment in the observation group was 100.0%(5/5).There were 3 recovered patients,1 markedly effective patient,1 effective patient,0 ineffective patients,and control group patients’efficiency was 60.0%(3/5).There were 0 recovered patients,1 markedly effective patient,2 effective patients,and 2 ineffective patients.The difference between the groups was statistically significant(χ^2=15.322,P<0.05),the average length of stay in the observation group was(6.2±1.3)d,and the probability of complications was 0.0%(0/5).The average length of stay in the control group was(9.4±2.2)d.The occurrence probability was 40.0%(2/5),the difference was statistically significant(t=6.266,χ^2=16.325,P<0.05).Conclusion In ASCVD patients,one-stop interventional therapy is effective and feasible for improving vascular stenosis,further reducing patient suffering,with acceptable safety and reducing complications.Stent placement can prevent re-occurrence of narrowed arteries.