静脉溶栓联合介入治疗急性脑梗死的效果分析

Analysis of the effect of intravenous thrombolysis combined with interventional therapy in the treatment of acute cerebral infarction

目的分析急性脑梗死患者予以静脉溶栓联合介入治疗的临床效果。方法64例急性脑梗死患者为研究对象,依据双盲法将患者分为观察组与对照组,各32例。对照组予以静脉溶栓治疗,观察组在对照组基础上联合介入治疗。对比两组临床疗效及治疗前后的神经功能评分。结果观察组治疗总有效率93.75%高于对照组的71.88%,差异有统计学意义(P<0.05)。治疗后,观察组美国国立卫生研究院卒中量表(NIHSS)、改良Rankin量表(mRS)评分分别为(5.01±1.34)、(2.12±0.34)分,均低于对照组的(10.11±2.04)、(3.05±0.79)分,差异有统计学意义(P<0.05)。结论对急性脑梗死患者予以静脉溶栓治疗的同时配合介入治疗能取得更为理想的治疗效果,具备临床推广价值。

Objective To analyze the clinical effect of intravenous thrombolysis combined with interventional therapy in the treatment of acute cerebral infarction.Methods A total of 64 patients with acute cerebral infarction were divided into observation group and control group according to double-blind method,with 32 cases in each group.The control group received intravenous thrombolytic therapy,and the observation group received interventional therapy on the basis of the control group.The clinical efficacy and neurological function score before and after treatment were compared between the two groups.Results The total effective rate of 93.75%in the observation group was higher than that of 71.88%in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of the National Institutes of Health Stroke Scale(NIHSS)and modified Rankin Scale(mRS)in the observation group were(5.01±1.34)and(2.12±0.34)points,which were lower than those of(10.11±2.04)and(3.05±0.79)points in the control group,and the differences were statistically significant(P<0.05).Conclusion Intravenous thrombolysis combined with interventional therapy in patients with acute cerebral infarction can achieve more ideal therapeutic effect and has the value of clinical promotion.