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《动脉溶栓联合机械辅助治疗前后循环大动脉急性闭塞性脑梗死的对比研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、336ChinJNerrMentDisVo1.40.No.6June2014论著动脉溶栓联合机械辅助治疗前后循环大动脉急陛闭塞性脑梗死的对比研究李水仙郑维红林威陈良义潘速跃【摘要】目的研究动脉溶栓联合机械辅助治疗前后循环大动脉急性闭塞性脑梗死患者的有效性和安全性。方法42例大动脉闭塞性脑梗死患者行动脉溶栓联合机械辅助治疗,分为前循环组(24例)、后循环组(18例),评估不同组别治疗前后的NIHSS评分(NationalInstituteofHealthstrokescale)、GCS评分(Glasgowcomascore,GCS)及治
2、疗后血管再通率、BIfBarthelIndex)优率、症状性颅内出血率、死亡率。结果前循环组卒中病因分型以心源性栓塞为主(15/24,62.5%),后循环组以动脉粥样硬化性血栓形成为主(5/18,72.2%),两组间比较,差异有统计学差异(P=0.026);前、后循环组患者,治疗后的NIHSS评分(8.3+4.9VS.8.1~5.7)较治疗前(15.1~5.3'/33.16.8~7.8)明显降低(P=O.001VS.P=O.001)、GCS评分(13.9~4.4VS.12.8~4.2)较治疗前(9.5~3.8US.9.6~3.7)明显
3、提高(P=0.001VS.P=0.021),后循环血管再通率(15/18,83.3%)有高于前循环(14/24,58.3%)趋势(P=0.830),前循环组患者颅内出血发生率(5/24,20.8%)明显高于后循环组(0,0%)(P=0.039),两组患者死亡率相似。结论动脉溶栓联合机械辅助治疗脑梗死能改善神经功能缺损,血管再通率高,更适用于后循环脑梗死的治疗。【关键词】动脉溶栓机械辅助大血管闭塞急性脑梗死【中图分类号】R743.3【文献标识码】AAcomparativestudyofintra-arterialthrombolysis
4、combinedwithmechanicaladjuvantinthetreatmentofischemicstrokepatientswithacutelargearteryocclusionineitheranteriorcirculationorposteriorcirculation.L/Shuixian,ZHENGWeihong,LINWei,CHENLiangyi,PANSuyue.DepartmentofNeurology,NanfangHospitalofSouthMedicalUniversity,Guangzhou
5、510515,China.Tel:0592-2590121.【Abstract】0bjectiveTostudytheeffectandsafetyofintra—arterialthrombolysiscombinedwithmechanicalad—juvantinthetreatmentofacutelargearteryocclusiveinfarctionofanteriorcirculationandposteriorcirculation.MethodsFourty-towpatientsweredividedintoa
6、nteriorcirculationgroup(24cases)andposteriorcirculationgroup(18cases).Therecanalizationrate,NIHSSscore(NationalInstituteofHealthstrokescale),GCSscore(Glasgowcomascore,GCS),BI(BarthelIndex)excellentrate,symptomaticintracranialhemorrhagerateandmortalitywasanalyzedafterint
7、ra—arterialthrombolysiscombinedwithmechanicalaidstherapy.ResultsTheanteriorcirculationgroupwasmainlycausedbycar—diogenicembolism(15/24,62.5%)andposteriorcirculationgroupwasmainlycausedbyatherosclerosisthrombosis(5/18,72.2%).TheNIHSSscorewassignificantlyloweraftertreatme
8、ntf8.3~4.9VS.8.1-+5.7)thanbeforetreatment(15.1±5.3US.16.8~7.8)f/9=_0.001VS.P=O.001),theGCSscorewassignificantl
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