目的:探究数字减影血管造影(Digital subtraction angiography,DSA)辅助下神经介入取栓术治疗缺血性脑卒中的效果.方法:选择 2019年 10 月至2022 年10 月本院收治的缺血性脑卒中患者 130 例作为研究对象.随机将患者分为对照组和观察组,各 65 例.对照组接受静脉溶栓治疗;观察组实施DSA辅助下神经介入取栓术治疗.在术后 1 w,分析对比两组的治疗效果.结果:观察组总有效率高于对照组(P<0.05).治疗前,两组国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)无显著差异(P>0.05).治疗后,观察组NIHSS评分低于对照组(P<0.05).观察组血管再通率高于对照组(P<0.05).结论:对缺血性脑卒中采用DSA辅助下神经介入取栓术治疗能改善患者的神经功能,提高其血管再通率,提高治疗效果.
Effect analysis of nerve interventional thrombectomy assisted by DSA in patients with ischemic stroke
Objective:To investigate the effect of nerve interventional thrombectomy assisted by Digital subtraction angiography(DSA)in the treatment of ischemic stroke.Methods:130 patients with ischemic stroke admitted to our hospital from October 2019 to October 2022 were selected as the study objects.The patients were randomly divided into control group and observation group,65 cases in each group.The control group received intravenous thrombolytic therapy;Observation group was treated with DSA assisted nerve interventional thrombectomy.At 1 week after operation,the therapeutic effect of the two groups was analyzed and compared.Results:The total effective rate of observation group was higher than that of control group(P<0.05).Before treatment,there were no significant differences in the National Institute of Health stroke scale(NIHSS)between the two groups(P>0.05).After treatment,the NIHSS score of the observation group was lower than that of the control group(P<0.05).The vascular revascularization rate in observation group was higher than that in control group(P<0.05).Conclusion:DSA-assisted nerve interventional thrombectomy for ischemic stroke can improve the nerve function,increase the rate of vascular revascularization and improve the therapeutic effect.