颈动脉支架置入术治疗症状型颈动脉狭窄患者的疗效分析

Effect of Carotid Artery Stenting on Symptomatic Carotid Artery Stenosis

目的分析颈动脉支架置入术治疗症状型颈动脉狭窄的效果。方法方便选取2022年3月—2023年2月巨野县人民医院收治的86例症状型颈动脉狭窄患者为研究对象,采用抽签分组分为传统组、支架组,各43例。传统组行颈动脉内膜切除术,支架组行颈动脉支架置入术。比较两组认知功能、临床指标、血管不良事件、手术并发症。结果术后,两组简易精神状态检查量表(mini-mental state examination,MMSE)、蒙特利尔认知评估(montreal cognitive assessment,MoCA)评分均高于术前,差异有统计学意义(P均<0.05)。术后,两组间MMSE、MoCA评分比较,差异无统计学意义(P均>0.05)。支架组手术时间、住院时间分别为(88.51±14.23)min、(8.95±2.04)d,均短于传统组,差异有统计学意义(t=7.330、10.430,P均<0.001)。两组不良事件发生率、并发症发生率比较,差异无统计学意义(P均>0.05)。结论颈动脉支架置入术引发的安全事件少,能达到和颈动脉内膜切除相当的认知功能改善效果,恢复周期短,可根据症状型颈动脉狭窄患者的需求选择。

Objective To analyze the effect of carotid artery stenting for symptomatic carotid artery stenosis.Methods A total of 86 patients with symptomatic carotid artery stenosis admitted to Juye County People's Hospital from March 2022 to February 2023 were conveniently selected as the study objects,and divided into traditional group and stent group by lot,with 43 cases in each group.Carotid endarterectomy was performed in the traditional group and carotid stenting was performed in the stent group.Cognitive function,clinical indicators,vascular adverse events and surgical complications were compared between the two groups.Results After operation,the scores of Mini-mental State Examination(MMSE)and Montreal Cognitive Assessment(MoCA)in both groups were higher than those before operation,the differences were statistically significant(both P<0.05).After operation,there were no statistically significant differences in MMSE and MoCA scores between the two groups(both P>0.05).The operation time and hospital stay in the stent group were(88.51±14.23)min and(8.95±2.04)d,respectively,which were shorter than those in the traditional group,the differences were statistically significant(t=7.330,10.430,all P<0.001).There were no statistically significant differences in the incidence of adverse events and complications between the two groups(both P>0.05).Conclusion Carotid artery stenting has fewer safety events,can achieve cognitive function improvement comparable to carotid endarterectomy,and the recovery period is short.It can be selected according to the needs of patients with symptomatic carotid artery stenosis.