微创干预急性椎基底动脉闭塞性脑梗死的临床效果分析

Clinical Effect Analysis of Minimally Invasive Intervention on Acute Vertebrobasilar Occlusive Cerebral Infarction

目的分析急性椎基底动脉闭塞性脑梗死给予微创干预的临床效果。方法本研究于2017年1月至2019年10月纳入研究对象,均为收治于我院的急性椎基底动脉闭塞性脑梗死患者,共180例。根据随机平均原则分为静脉组、动脉组和机械组。分别根据《中国急性缺血性脑卒中早期血管内介入诊疗指南》和患者切实情况采取静脉溶栓方案、动脉溶栓方案和机械取栓方案。结果机械组血管再通率、NIHSS评分改善率、预后良好率与静脉组和动脉组对比,P<0.05。动脉组和静脉组在血管再通率、NIHSS评分改善率方面对比,P<0.05。结论急性椎基底动脉闭塞性脑梗死给予机械取栓在疏通血管、提高神经功能、改善预后、降低死亡率方面更具临床价值。

Objective To analyze clinical effect of minimally invasive intervention for acute vertebrobasilar occlusive cerebral infarction.Methods We chose 180 patients with acute vertebrobasilar artery occlusive cerebral infarction admitted to our hospital from January 2017 to October 2019.According to random average principle,divide them into venous group,arterial group and mechanical group.According to"Guidelines for Early Endovascular Intervention in Chinese Acute Ischemic Stroke"and actual situation of patients,treated them with scheme of intravenous thrombolysis,arterial thrombolysis and mechanical thrombolysis.Results In comparisond with venous group and arterial group,recanalization rate,NIHSS scores improvement rate and good prognosis rate of mechanical group showed P<0.05.Vascular recanalization rate and NIHSS scores improvement rate showed P<0.05 between arterial group and venous group.Conclusion Mechanical thrombus removal has clinical value in dredging blood vessels,improving nerve function and prognosis,and reducing mortality for patients with acute vertebrobasilar artery occlusive cerebral infarction,.