摘要
目的评价急性前循环脑梗死采用机械取栓及低剂量替罗非班的疗效。方法对照组及观察组均以机械取栓的方法治疗,但观察组加入低剂量的替罗非班治疗。结果两组组间术中血管痉挛、血管再通、术后血管再闭塞、术后脑出血、手术时长、术后4h的NIHSS、术后24h的NIHSS对比,差异无统计学意义(P>0.05)。两组组间预后良好、取栓次数、术后14d的NIHSS对比,差异有统计学意义(P<0.05)。结论急性前循环脑梗死采用机械取栓及低剂量替罗非班的预后良好,能减少取栓次数、提高神经功能。
Objective To evaluate effect of mechanical thrombectomy and low-dose tirofiban for acute anterior circulation cerebral infarction.Methods Control group and observation group were treated with mechanical thrombectomy,and observation group with low-dose tirofiban.Results There was no significant difference between two groups in intraoperative vasospasm,vascular recanalization,postoperative vascular recanalization,postoperative intracerebral hemorrhage,operation time,NIHSS at 4H and NIHSS at 24h,difference was statistically significant,(P>0.05).There was significant difference between two groups in terms of prognosis,thrombectomy times and NIHSS 14 days after operation,difference was statistically significant,(P<0.05).Conclusion Mechanical thrombectomy and low-dose tirofiban can achieve good prognosis for acute anterior circulation cerebral infarction,reduce number of thrombectomy and improve neurological function.
作者
董宁
DONG Ning(Neurology Department,Jilin Province Fourth People's Hospital,Changchun,Jilin,130021)
出处
《智慧健康》
2022年第18期95-98,共4页
Smart Healthcare
关键词
急性前循环脑梗死
机械取栓
低剂量替罗非班
Acute anterior circulation cerebral infarction
Mechanical bolt removal
Low dose tirofiban
作者简介
董宁(1988-),女,汉族,吉林农安,硕士研究生,主治医师,研究方向:脑血管病临床研究。
