首页|血管内介入栓塞术治疗颅内动脉瘤对患者脑损伤指标、血清炎症因子水平的影响

血管内介入栓塞术治疗颅内动脉瘤对患者脑损伤指标、血清炎症因子水平的影响

扫码查看
目的 探讨血管内介入栓塞术在颅内动脉瘤患者中的应用效果.方法 选取吉林市中心医院 2021 年1 月—2023 年 11 月收治的 86例颅内动脉瘤患者为研究对象,按随机数字表法将其分为对照组和观察组,各 43 例.对照组采取开颅夹闭术,观察组采取血管内介入栓塞术.对比两组的手术相关指标、脑损伤指标、血清炎症因子及并发症发生情况.结果 观察组手术时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).术后 7d,神经元特异性烯醇化酶、中枢神经特异性蛋白β、血清髓磷脂碱性蛋白、肿瘤坏死因子-α、降钙素原、超敏C反应蛋白、单核细胞趋化蛋白-1 水平均低于对照组,组间差异有统计学意义(P<0.05).两组并发症发生率比较,差异无统计学意义(P>0.05).结论 与开颅夹闭术相比,血管内介入栓塞术在颅内动脉瘤患者中的治疗效果更好,可减轻脑损伤指标水平与炎症因子水平,且术后恢复更快.
Effect of Endovascular Interventional Embolization in the Treatment on Brain Injury Indicators and Serum Inflammatory Factor Levels in Patients with Intracranial Aneurysms
Objective To explore the application effect of endovascular interventional embolization in patients with intracranial aneurysms.Methods A total of 86 patients with intracranial aneurysms admitted to Jilin Central Hospital from January 2021 to November 2023 were selected as the research subjects,divide them into a control group and an observation group using a random number table method,with 43 cases in each group.The control group was treated with craniotomy clipping,and the observation group was treated with endovascular interventional embolization.The operation related indicators,brain injury indicators,serum inflammatory factors and complications were compared between the two groups.Results The observation group had shorter surgical time and hospital stay compared to the control group,the differences between groups were statistically significant(P<0.05).7 days after surgery,the levels of neuron-specific enolase,central nervous system specific protein β,serum myelin basic protein,tumor necrosis factor alpha,procalcitonin,hypersensitive C-reactive protein,and monocyte chemotactic protein-1 were all lower than those in the control group,the differences between groups were statistically significant(P<0.05).Comparison of incidence rates of complications between two groups,the differences was not statistically significant(P>0.05).Conclusion Compared with craniotomy clipping,endovascular interventional embolization has a better therapeutic effect in patients with intracranial aneurysms,can reducing levels of brain injury indicators and inflammatory factors,and achieving faster postoperative recovery.

Intracranial aneurysmEndovascular interventional embolizationCraniotomy clippingBrain injury indicatorsSerum inflammatory factors

张德阳

展开 >

吉林市中心医院神经外科,吉林吉林 132001

颅内动脉瘤 血管内介入栓塞术 开颅夹闭术 脑损伤指标 血清炎症因子

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)
  • 8