急性脑梗死机械取栓技术流程优化对血管再通时间及临床效果的影响分析

Analysis of the Effect of Process Optimization of Mechanical Embolization Technique on Revascularization Time and Clinical Outcome in Acute Cerebral Infarction

目的:分析急性脑梗死机械取栓技术流程优化对血管再通时间及临床效果的影响。方法:选取2018年12月—2020年12月样本医院收治的108例急性脑梗死患者作为研究对象,入院后所有患者均接受机械取栓治疗,采取随机数表法分为观察组和对照组,每组各54例。对照组予以传统流程接受机械取栓治疗,观察组优化机械取栓技术流程。结果:观察组的血管再通时间明显短于对照组,取栓次数少于对照组,术后2周NIHSS评分低于对照组,差异有统计学意义(t=10.269、16.259、6.760,P<0.05)。观察组的血栓逃逸率、术后再闭塞率均明显低于对照组,观察组的预后良好率明显高于对照组,差异有统计学意义(χ^(2)=4.270、3.970、13.370,P<0.05)。治疗后,观察组ADL评分明显高于对照组,差异有统计学意义(t=17.109,P<0.05)。结论:优化机械取栓技术流程可缩短再通时间,减少取栓次数,改善患者预后。

Objective:To analyze the effect of process optimization of mechanical embolization technique on revascularizationtime and clinical outcome in acute cerebral infarction.Methods:108 patients with acute cerebral infarction admitted to the sample hospitals from December 2018 to December 2020 were selected as study subjects,and all patients received mechanical embolization after admission,and were divided into observation and control groups by the random number table method,with 54 cases in each group.The control group received mechanical embolization in the traditional procedure,and the observation group optimized the mechanical embolization technique procedure.Results:In the observation group,the revascularization time was significantly shorter than that of the control group,the number of bolus retrievals was less than that of the control group,and the NIHSS score at 2 weeks after surgery was lower than that of the control group,with statistically significant differences(t=10.269,16.259,6.760,P<0.05).The thrombus escape rate and postoperative re-occlusion rate in the observation group were significantly lower than those in the control group,and the good prognosis rate in the observation group was significantly higher than that in the control group,with statistically significant differences(χ^(2)=4.270,3.970,13.370,P<0.05).After treatment,the ADL score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(t=17.109,P<0.05).Conclusion:Optimizing the mechanical embolization technique process can shorten recanalization time,reduce the number of embolizations,and improve patient prognosis.