支架血管成形术对急性颅内大动脉粥样硬化性闭塞患者神经功能及预后的影响

Effect of Stent Angioplasty on Nerve Function and Prognosis in Patients with Acute Intracranial Atherosclerotic Occlusion

目的探讨支架血管成形术在急性颅内大动脉粥样硬化性闭塞患者中的应用价值。方法回顾性分析2017年1月至2021年3我院收治的80例急性颅内大动脉粥样硬化性闭塞患者的病例资料,按随机数字表法分为两组,各40例。对照组采用机械取栓术,研究组采用支架血管成形术,两组均观察至术后3个月。比较两组血管再通率、神经功能及预后。结果研究组血管再通率高于对照组,差异有统计学意义(P<0.05);术前,两组美国国立卫生研究院卒中量表(NIHSS)评分比较,差异无统计学意义(P>0.05);术后,研究组NIHSS评分低于对照组,差异有统计学意义(P<0.05);随访3个月后,研究组预后良好率高于对照组,差异有统计学意义(P<0.05)。结论支架血管成形术能够有效促进急性颅内大动脉粥样硬化性闭塞患者血管再通,保护其神经功能免受损伤,利于预后恢复,值得临床应用。

Objective To investigate the value of stent angioplasty in patients with acute intracranial atherosclerotic occlusion.Methods The data of 80patients with acute intracranial atherosclerosis occlusion admitted in our hospital from January 2017 to 2021,which were divided into two groups and 40 each.The control group used mechanical bolography,and stent angioplasty,and both groups observed 3 months after surgery.Compare vascular recurrence,neurological function and prognosis between the two groups.Results The vascular recurrence rate was higher than the control group(P<0.05),the NIHSS score(P>0.05),the NIHSS score(P<0.05)and the control group(P<0.05).Conclusion Stent angioplasty can effectively promote vascular recurrence in patients with acute intracranial atherosclerotic occlusion,protect its nerve function from injury and facilitate prognosis recovery,which is worth clinical application.