首页|血管内介入结合静脉溶栓治疗中重症急性脑梗死的效果及对脑血流状况的影响

血管内介入结合静脉溶栓治疗中重症急性脑梗死的效果及对脑血流状况的影响

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目的 探讨血管内介入结合静脉溶栓治疗中重症急性脑梗死的效果及对脑血流状况的影响。方法 选取2021年1月至2022年 1月收治的156例中重症急性脑梗死患者为研究对象,根据治疗方法将其分为对照组与观察组,各78例。对照组给予静脉溶栓治疗,观察组在对照组治疗基础上给予血管内介入治疗。比较两组的治疗效果。结果 术后,两组的美国国立卫生院卒中量表(NIHSS)评分、神经元特异性烯醇化酶(NSE)、脑钠肽(BNP)水平均降低,Alberta卒中项目早期CT评分(ASPECT)评分、神经生长因子(NGF)水平、大脑中动脉收缩期最大血流速度(Vs)、舒张期最小血流流速(Vd)及平均血流速度(Vm)均升高,且观察组优于对照组(P<0。05)。结论 血管内介入结合静脉溶栓治疗中重症急性脑梗死患者可明显提高神经功能恢复效果,保护脑组织,提升预后,治疗效果显著。
Effect of intravascular intervention combined with intravenous thrombolysis on moderate to severe acute cerebral infarction and its influence on cerebral blood flow
Objective To investigate the effect of intravascular intervention combined with intravenous thrombolysis on moderate to severe acute cerebral infarction and its influence on cerebral blood flow.Methods A total of 156 patients with moderate to severe acute cerebral infarction admitted from January 2021 to January 2022 were selected as the research objects,and the patients were divided into control group and observation group according to treatment methods,with 78 cases in each group.The control group was treated with intravenous thrombolysis,and the observation group was treated with intravascular intervention on the basis of the control group.The therapeutic effects of the two groups were compared.Results After operation,the National Institutes of Health Stroke Scale(NIHSS)score,neuron specific enolase(NSE)and brain natriuretic peptide(BNP)levels of the two groups decreased,the Alberta Stroke Program Early CT Score(ASPECT)score,nerve growth factor(NGF)level,maximum systolic blood flow velocity(Vs),minimum diastolic blood flow velocity(Vd)and mean blood flow velocity(Vm)of middle cerebral artery increased,and those in the observation group were better than the control group(P<0.05).Conclusion Intravascular intervention combined with intravenous thrombolysis in the treatment of patients with moderate to severe acute cerebral infarction can significantly improve the recovery of neurological function,protect brain tissue,improve prognosis,and has a significant therapeutic effect.

intravascular interventionintravenous thrombolysismoderate to severe acute cerebral infarctionneurological function

李剑、张灵芳、张洋

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汉中市中心医院神经内科,陕西汉中,723000

汉中市中心医院急诊科,陕西汉中,723000

西安交通大学第一附属医院神经内科,陕西西安,710061

血管内介入 静脉溶栓 中重症急性脑梗死 神经功能

陕西省重点研发计划项目

2020SF-207

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(5)
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