超早期介入治疗伴有远端血管栓塞的急性大动脉闭塞型脑梗死的临床效果

Clinical Effect of Ultra-Early Interventional Therapy on Acute Large Artery Occlusive Cerebral Infarction with Distal Vascular Embolism

目的对有远端血管栓塞的急性大动脉闭塞型脑梗死疾病的患者应用超早期介入治疗,探究此方法的临床效果。方法选取2019年3月-2021年12月本科接诊闭塞型脑梗死病患60例,随机均分两组,研究组采取早期介入疗法,对照组行常规治疗。对比NIHSS评分等指标。结果针对NIHSS评分,研究组出院时(5.62±0.71)分,比对照组(12.58±1.03)分低,差异有统计学意义(P<0.05)。针对总有效率,研究组96.67%,比对照组76.67%高,差异有统计学意义(P<0.05)。对两组治疗1月后血管再通情况分析,研究组明显优于对照组,差异有统计学意义(P<0.05)。研究组患者满意度优于对照组,差异有统计学意义(P<0.05)。结论于远端血管栓塞的急性大动脉闭塞型脑梗死中运用早超期介入治疗,利于神经功能的恢复和疗效的提升。

Objective To explore clinical effect of ultra-early interventional therapy in treatment of acute large artery occlusion cerebral infarction patients with distal vascular embolism.Methods The paper chose 60 patients with occlusive cerebral infarction from March 2019 to December 2021,and divided them into two groups randomly.Study group was treated with early intervention therapy,while control group with routine treatment.NIHSS scores and other indicators were compared.Results NIHSS scores of study group were(5.62±0.71)lower than control group(12.58±1.03)at time of discharge(P<0.05).Total effective rate of study group was 96.67%,higher than control group(76.67%),and difference was statistically significant(P<0.05).Blood vessel recanalization in study group was significantly better than control group(P<0.05).Satisfaction degree of patients in study group was better than control group,and difference was statistically significant(P<0.05).Conclusion Early and delayed interventional therapy is beneficial to recovery of nerve function and improvement of curative effect of acute large artery occlusion cerebral infarction patients with distal vascular embolism.