超选择性动脉溶栓治疗急性大脑中动脉脑梗死的效果

目的探讨超选择性动脉溶栓治疗急性大脑中动脉脑梗死的临床效果及其安全性。方法选取大脑中动脉脑梗死患者88例作为研究对象,采用随机数字表法分为观察组及对照组,对照组中患者在治疗过程中选择常规方法,观察组中患者以超选择性动脉溶栓进行治疗,观察其临床效果及不良反应。结果对两组患者神经功能缺损评分变化情况进行观察,观察组患者治疗后评分为(7.2±2.2)分,与对照组(14.4±2.4)分比较,差异有统计学意义(P<0.05);观察两组不良反应发生情况,两组患者均未发生严重不良反应;观察组中患者满意率为95.5%,对照组中患者治疗满意率为72.7%,两组比较,差异有统计学意义(P<0.05)。结论对急性大脑中动脉脑梗死以超选择性动脉溶栓方法进行治疗,可使患者神经功能缺损情况得到明显改善,临床症状得到缓解,安全性较高。

Efficacy of super selective artery thrombolysis for patients with acute internal middle cerebral artery occlusions

Objective To evaluate the efficacy of super selective artery thrombolysis for patients with acute internal middle cerebral artery occlusions.Methods A total of 88 patients with acute internal middle cerebral artery infarction were collected in this study,all patients were divided into observation group and control group by random number table.Patients in the control group were treated with conventional methods,and observation group were treated with super selective arterial thrombolysis method.The clinical effect and adverse reaction were observed.Results The neurologic impairment score(7.2±2.2) of observation group after treatment was significant better than that in control group (14.4±2.4).There were no serious adverse reactions in the two groups.The satisfaction rate of patients in observation group and the control group was 95.5% and 72.7%,respectively.Conclusion Super selective arterial thrombolysis treatment can obviously improve the defect of nerve function and clinical symptoms without obvious adverse reaction in patients with acute middle cerebral artery infarction .