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颈动脉内膜剥脱术与颈动脉支架植入术治疗颈动脉狭窄的疗效分析

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目的 探讨颈动脉内膜剥脱术与颈动脉支架植入术治疗颈动脉狭窄的疗效.方法 随机选取2021年6月—2023年6月东平县人民医院收治的82例颈动脉狭窄患者为研究对象,以随机数表法分为两组,每组41例,观察组采取颈动脉内膜剥脱术,对照组采取颈动脉支架植入术,对比两组患者的生活能力评分、并发症发生情况以及治疗时间.结果 治疗后,两组Barthel指数评分均得到改善,治疗后40 d观察组评分为(82.66±3.20)分,高于对照组的(70.24±3.10)分,差异有统计学意义(t=17.850,P<0.001);与对照组相比,观察组的并发症发生率更低,整体治疗时间更短,差异有统计学意义(P均<0.05).结论 相比于颈动脉支架植入术,颈动脉内膜剥脱术治疗效果更明显,并发症发生率更低,住院时间更短.
Analysis of the Therapeutic Effects of Carotid Endarterectomy and Ca-rotid Artery Stent Implantation in the Treatment of Carotid Artery Steno-sis
Objective To explore the efficacy of carotid endarterectomy and carotid stent implantation in the treatment of carotid artery stenosis.Methods A total of 82 patients with carotid artery stenosis admitted to Dongping County People's Hospital from June 2021 to June 2023 were randomly selected as the study objects and were divided into two groups by random number table method,with 41 cases in each group.Carotid endarterectomy was performed in the ob-servation group and carotid stent implantation was performed in the control group.The scores of living ability,compli-cations and treatment time of patients in the two groups were compared.Results After treatment,the Barthel index score of both groups were improved,and after 40 days of treatment,the score of the observation group was(82.66±3.20)points,which was higher than that of the control group(70.24±3.10)points,and the difference was statistically significant(t=17.850,P<0.001).Compared with the control group,the complication rate in the observation group was lower and the overall treatment time was shorter,and the differences were statistically significant(both P<0.05).Con-clusion Compared with carotid stenting,carotid endarterectomy is more effective,has lower complication rate and shorter hospital stay.

Carotid endarterectomyCarotid artery stent implantationCarotid artery stenosisBarthel index

李红金、刘松

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东平县人民医院神经外科,山东泰安 271500

颈动脉内膜剥脱术 颈动脉支架植入术 颈动脉狭窄 Barthel指数

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(7)
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