摘要
目的:观察缺血性脑血管病患者开展颈动脉支架介入治疗的临床效果。方法:选取2022年8月~2024年7月本院收治的缺血性脑血管病患者238例,数字分组法均分两组。对照组采用单纯药物治疗,试验组则在药物治疗基础上加用颈动脉支架介入治疗。比较两组认知功能、生活质量、并发症发生率、动脉收缩期峰流速、颈动脉狭窄程度。结果:试验组NIHSS低于对照组,MoCA、MMSE高于对照组(P<0.05);干预后,试验组健康调查简表(SF-36)各维度评分均高于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05);试验组颈部血流各流速均低于对照组(P<0.05);试验组患者接受干预后颈动脉中重度狭窄率低于对照组(P<0.05)。结论:缺血性脑血管病患者联合开展颈动脉支架介入治疗在对患者预后各认知能力的调节中起到积极作用、还能促进患者生活质量恢复,降低颈动脉狭窄,减少并发症发生率,是一种安全有效的治疗方式。
Objective:Analyze and discuss the clinical effects of carotid artery stent intervention in patients with ischemic cerebrovascular disease.Methods:A total of 238 patients with ischemic cerebrovascular disease admitted to our hospital from August 2022 to July 2024 were selected and divided into two groups by digital grouping method.The control group only received simple drug treatment,while the experimental group received drug combined with carotid stent intervention treatment.Compare various indicators from cognition to carotid blood flow between two groups.Results:The NIHSS of the experimental group was lower than that of the control group,while the MoCA and MMSE were higher than those of the control group(P<0.05);After intervention,the scores in all dimensions of the SF-36 health survey in the experimental group were higher than those in the control group(P<0.05);The incidence of complications in the experimental group was lower than that in the control group(P<0.05);The neck blood flow velocity in the experimental group was lower than that in the control group(P<0.05);The incidence of moderate to severe carotid artery stenosis in the experimental group was lower than that in the control group after intervention(P<0.05).Conclusion:The combined use of carotid artery stent intervention therapy in patients with ischemic cerebrovascular disease plays a positive role in regulating their cognitive abilities and prognosis.It can also promote the recovery of patients'quality of life,reduce the degree of carotid artery stenosis,and ultimately not increase the risk of unsafe conditions and complications.The overall treatment plan is both effective and safe.
作者
沈晓燕
陈鸿燕
郑幼榕
薛秋榕
SHEN Xiao-yan;CHEN Hong-yan;ZHENG You-rong;XUE Qiu-rong(Fujian Medical University Affiliated Zhangzhou Hospital,Fujian Zhangzhou 363000)
出处
《中国医疗器械信息》
2025年第21期100-102,共3页
China Medical Device Information
