导管血栓抽吸技术与支架机械取栓治疗急性脑梗死的效果比较

Comparison of the effect of catheter thrombus aspiration technique and stent mechanical thrombectomy in the treatment of acute cerebral infarction

目的比较导管血栓抽吸技术与支架机械取栓治疗急性脑梗死的临床效果。方法选取2020年1月至2021年9月我院收治的300例急性脑梗死患者为研究对象,采用随机数字表法将其分为对照组和研究组,每组150例。对照组采用支架机械取栓治疗,研究组采用导管血栓抽吸技术治疗。比较两组的治疗效果。结果研究组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。术后24、48 h,两组的美国国立卫生研究院卒中量表(NIHSS)评分低于术前,差异具有统计学意义(P<0.05);术后24、48 h,研究组的NIHSS评分低于对照组,差异具有统计学意义(P<0.05)。研究组的术后并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论相较于支架机械取栓,导管血栓抽吸技术治疗急性脑梗死的效果显著,可改善神经功能,且安全性高,值得临床推广与应用。

Objective To compare the clinical effect of catheter thrombus aspiration technique and stent mechanical thrombectomy in the treatment of acute cerebral infarction.Methods A total of 300 patients with acute cerebral infarction admitted in our hospital from January 2020 to September 2021 were selected as the research objects,and the patients were divided into control group and study group by random number table method,with 150 cases in each group.The control group was treated with stent mechanical thrombectomy,and the study group was treated with catheter thrombus aspiration technique.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).At 24 and 48 h after operation,the National Institute of Health Stroke Scale(NIHSS)score of the two groups was lower than that before operation,and the difference was statistically significant(P<0.05);at 24 and 48 h after operation,the NIHSS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with stent mechanical thrombectomy,catheter thrombus aspiration technique is effective in the treatment of acute cerebral infarction,it can improve neurological function and has high safety,which is worthy of promotion and application in clinic.