首页|介入栓塞时机对脑动脉瘤破裂患者效果及神经损伤的影响

介入栓塞时机对脑动脉瘤破裂患者效果及神经损伤的影响

扫码查看
目的:探究介入栓塞时机对脑动脉瘤破裂患者效果及神经损伤的影响.方法:选取 2021 年1 月—2023 年 6 月扬州市江都人民医院收治的 80 例脑动脉瘤破裂患者进行回顾性研究,根据治疗时机分为A组和B组.A组入院 3 d后进行介入栓塞治疗,B组入院 3 d内进行介入栓塞治疗.比较两组栓塞效果、并发症总发生率、治疗前后美国国立卫生研究院卒中量表(NIHSS)评分及血清神经损伤指标[神经元特异性烯醇化酶(NSE)、S100 钙结合蛋白B(S100B)及髓鞘碱性蛋白(MBP].结果:B组栓塞效果显著优于A组,并发症总发生率显著低于A组,差异均有统计学意义(P<0.05).治疗前两组NIHSS评分及血清神经损伤指标比较,差异均无统计学意义(P>0.05);治疗后 1、3 个月B组NIHSS评分均显著优于A组,治疗后 3、7、14 d 两组血清神经损伤指标均显著低于治疗前,且B组血清神经损伤指标均显著低于A组,差异均有统计学意义(P<0.05).结论:早期介入栓塞治疗在脑动脉瘤破裂患者中的应用效果较好,更有助于改善神经功能,减少并发症发生.
Effect of Interventional Embolism Timing on Patients with Rupture of Cerebral Aneurysm and Its Influence on Nerve Injury
Objective:To investigate the effect of interventional embolism timing on patients with rupture of cerebral aneurysm and its influence on nerve injury.Method:A total of 80 patients with rupture of cerebral aneurysm admitted to Jiangdu People's Hospital of Yangzhou from January 2021 to June 2023 were selected for retrospective study,and they were divided into group A and group B according to the treatment timing.Group A received interventional embolism after 3 d of admission,group B received interventional embolism within 3 d of admission.Embolization effect,total complication rate,before and after treatment of national institutes of health stroke scale(NIHSS)score and serum nerve injury indexes[neuron specific enolase(NSE),S100 calcium binding protein B(S100B)and myelin basic protein(MBP)]were compared between the two groups.Result:The embolization effect of group B was significantly better than that of group A,and the incidence of total complications was significantly lower than that of group A,the differences were statistically significant(P<0.05).There were no significant differences in NIHSS score and serum nerve injury indexes between the two groups before treatment(P>0.05).The NIHSS scores of group B were significantly better than those of group A at 1 month and 3 months after treatment,serum nerve injury indexes in both groups 3,7 and 14 days after treatment were significantly lower than those before treatment,and those in group B were significantly lower than those in group A,the differences were statistically significant(P<0.05).Conclusion:Early interventional embolism is effective in patients with rupture of cerebral aneurysm,which is helpful to improve nerve function and reduce complications.

Interventional embolismTreatment timingRupture of cerebral aneurysmNerve injury

朱恩锋、杨明林、黄华兵

展开 >

扬州市江都人民医院神经外科 江苏 扬州 225200

介入栓塞 治疗时机 脑动脉瘤破裂 神经损伤

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(20)
  • 17