首页|颈动脉支架在缺血性脑血管病的防治作用研究

颈动脉支架在缺血性脑血管病的防治作用研究

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目的观察颈动脉支架在缺血性脑血管病防治中的应用效果。方法将我院及广州珠江医院2009年1月-2011年12月间收治的伴随颈动脉狭窄的缺血性脑血管病患者随机抽样92例,按是否行颈动脉支架置入术分为观察组和对照组各46例。对照组行单纯药物治疗,观察组予颈动脉支架置入术并药物治疗。参照北美颈动脉外科学会(NASCET)制定的标准分别对两组患者的颈动脉狭窄程度进行评价。同时,行3个月-2年的随访,分别调查并统计两组患者治疗后缺血性脑卒中及死亡的联合发生情况。结果观察组患者治疗后颈动脉重度狭窄的比率为6.52%,对照组为26.08%(P<0.05);观察组患者缺血性脑卒中及死亡的联合发生率为8.69%,对照组为34.79%(P<0.05)。结论颈动脉支架置入在缺血性脑血管病防治中能有效降低颈动脉狭窄程度,同时降低患者缺血性脑卒中及死亡的联合发生率。
Objective To observe the application effect of carotid artery stenting in the treatment of ischemic cerebrovascular disease. Methods From our hospital and Zhujiang Hospital of Guangzhou in 2009 January-2011 December, with carotid artery stenosis in patients with ischemic cerebrovascular disease, random sampling of 92 cases, according to whether the carotid artery stenting were divided into 2 groups, the observation group 46 cases, control group 46 cases. A control group of 46 patients with simple drug treatment, the observation group 46 cases of patients with carotid artery stenting and drug treatment. Referring to North American Society of carotid artery surgery(NASCET) respectively to the degree of carotid stenosis in the patients of the 2 groups were evaluated standards. At the same time, 2 groups of patients were followed up for 3 months-2 years, respectively, to investigate and ischemic stroke statistics of 2 groups of patients after treatment and the combined incidence of death. Results The patients in the observation group treatment rates for carotid artery severe stenosis 6.52%, 26.08% in the control group(P<0.05). At the same time, the observation group of patients with ischemic stroke and death of the incidence rate was 8.69%, 34.79% in the control group(P<0.05). Conclusion Carotid artery stenting can effectively reduce the degree of carotid artery stenosis in the prevention and treatment of ischemic cerebrovascular diseases, while reducing the ischemic stroke patients and the combined incidence of death.

Ischemic cerebrovascular diseaseCarotid arteryPrevention

申春云、梁洁、贺雄军

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524037 广东省湛江市中心人民医院神经内科

510280南方医科大学珠江医院神经内科

缺血性脑血管病 颈动脉 防治

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(9)
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