Clinical effect of endovascular thrombectomy after intravenous thrombolysis in the treatment of acute ischemic stroke
Objective To analyze the clinical effect of endovascular thrombectomy after intravenous thrombolysis in the treatment of acute ischemic stroke.Methods Sixty patients with acute ischemic stroke admitted from August 2021 to August 2022 were selected as the subjects of this study.The patients were randomly divided into conventional group(30 cases,intravenous thrombolysis therapy)and observation group(30 cases,endovascular thrombectomy after intravenous thrombolysis therapy).The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the conventional group(P<0.05).After treatment,the levels of neuron specific enolase(NSE),S-100B protein,tumor necrosis factor-α(TNF-α),high-sensitivity C-reactive protein(hs-CRP)and interleukin-6(IL-6)in the observation group were lower than those in the conventional group(P<0.05).After treatment,the blood flow velocity of bilateral middle cerebral artery(MCA),anterior cerebral artery(ACA),posterior cerebral artery(PCA)and basilar artery(BA)in the observation group were bigger than those in the conventional group(P<0.05).The total incidence of adverse events during hospitalization in the observation group was significantly lower than that in the conventional group(P<0.05).Conclusion The endovascular thrombectomy after intravenous thrombolysis in the treatment of patients with acute ischemic stroke has an ideal effect.
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