血管内支架介入在缺血性脑卒中治疗中的价值研究

目的探讨血管内支架介入在缺血性脑卒中治疗中的价值。方法选取2010年1月—2012年6月我院神经内科收治的行脑血管介入治疗的缺血性脑卒中患者20例,治疗前后采用美国国立卫生研究院卒中评分量表(NIHSS)对患者神经功能进行评定,并观察并发症发生情况。结果患者介入治疗均获成功,血管狭窄部位恢复正常血管直径和形态,残余狭窄率10%。2例患者颈动脉支架于球囊扩张后出现一过性心率减慢,7例患者使用保护伞收集到多枚淡黄色粥样硬化斑块,1例患者椎动脉起始部狭窄于手术中使用球扩支架后出现头晕、恶心、呕吐。患者术后NIHSS评分低于术前(P0.05)。结论充分做好术前、术中及术后准备工作,合理利用血管内支架介入对缺血性脑卒中患者的治疗起着至关重要的作用。

Value of Endovascular Stent in the Treatment of Ischemic Stroke

Objective To explore the value of endovascular stent in the treatment of ischemie stroke. Methods 20 patients with ischemic stroke admitted to our hospital from January 2010 to June 2012 were treated by endovaseuiar stent intervention. The NIHSS was evaluated before and after treatment, and the occurrence of complications were observed. Results All patients were treated successfully, residual stenosis rate was 〈 10%. 2 patients with carotid artery stenting appears a transient slowing of heart rate after balloon dilation, 7 patients using the yellow umbrella collected multiple pieces of atherosclerotic plaques, 1 patient vertebral artery dizziness, nausea, vomiting after starting use of ball - expanding stent stenosis in surgery. The NIHSS score after surgery was lower than that of before surgery （ P 〈 0. 05）. Conclusion To do a good job of preoperative, intraoperarive and postoperative preparation, and reasonable use of endovascular stent interventional in treating ischemic stroke plays an important role.