超时间窗动脉取栓术对重度前循环急性脑梗死患者血管再通率及神经功能的影响

Effect of Ultra-Time-Window Arterial Thrombus Extraction on Vascular Revasculotomy Rate and Neurological Function in Patients with Severe Anterior Circulation Acute Cerebral Infarction

目的探讨超时间窗动脉取栓术在重度前循环急性脑梗死(ACI)患者中的疗效。方法回顾性分析2021年1月—2023年6月我院收治的60例重度前循环ACI患者的临床资料,按照治疗方法的不同将其分为对照组与观察组。对照组(n=30)采用静脉溶栓治疗,观察组(n=30)采用超时间窗动脉取栓术治疗,两组均持续随访3个月。对比两组血管再通率、神经功能、并发症发生情况。结果观察组血管再通率为90.00%,高于对照组的40.00%,差异有统计学意义(P<0.05);治疗后,观察组美国国家卫生研究院卒中量表评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.33%,低于对照组的13.33%,差异有统计学意义(P<0.05)。结论超时间窗动脉取栓术能提升重度前循环ACI患者血管再通率,改善神经功能,减少并发症的发生。

Objective To investigate the efficacy of arterial thrombectomy beyond time window in patients with severe anterior circulation acute cerebral infarction(ACI).Methods The clinical data of 60 patients with severe anterior circulation ACI admitted to our hospital from January 2021 to June 2023 were retrospectively analyzed,and they were divided into a control group and an observation group according to different treatment methods.The control group(n=30)received intravenous thrombolytic therapy,and the observation group(n=30)received ultra-time window arterial thrombectomy.Both groups were followed up for 3 months.Vascular revascularization rate,nerve function and complications were compared between the two groups.Results The vascular revasculation rate in the observation group was 90.00%,which was higher than 40.00%in the control group,the difference was statistically significant(P<0.05);after treatment,the score of the National Institutes of Health Stroke Scale in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);the complication rate of the observation group was 3.33%,which was lower than 13.33%in the control group,with statistical significance(P<0.05).Conclusion Ultra-time window arterial thrombectomy can improve the vascular revascularization rate,improve nerve function and reduce the occurrence of complications in patients with severe anterior circulation ACI.