接触溶栓与支架取栓对急性脑血管闭塞患者术后NIHSS评分、临床疗效及生存质量的影响

摘要

Objective To investigate the influences of contact thrombolysis and stent embolectomy in NIHSS scores,clinical efficacy and quality of life of patients with acute cerebral vascular occlusion.Methods 80 cases of patients with acute cerebral vascular occlusion who were treated in our hospital from May 2014 to May 2016 were selected,these patients were divided into contact thrombolysis group(n =40)and bracket thrombectomy group (n =40) two groups according to a random number table,the NIHSS scores,clinical efficacy and quality of life of the two groups were statistically analyzed.Results The NIHSS score of the bracket thrombectomy group was significantly lower(P ＜ 0.05),the total treatment effective rate 95.0％ (38/ 40) was significantly higher than the contact thrombolysis group 77.5 ％ (31/40) (P ＜ 0.05),the proportion of quality of life high 80.0％ (32/40)was significantly higher than the contact thrombolysis group 50.0％ (20/ 40) (P ＜ 0.05),the proportion of low 5.0％ (2/40) was significantly lower than contact thrombolysis group 30.0％ (12/40) (P ＜ 0.05).Conclusion Stent embolectomy can more effectively reduce NIHSS scores,improve clinical efficacy and quality of life of patients with acute cerebral vascular occlusion than contact thrombolysis.%目的 探讨接触溶栓与支架取栓对急性脑血管闭塞患者术后NIHSS评分、临床疗效及生存质量的影响.方法 选取我院2014年5月至2016年5月收治的急性脑血管闭塞患者80例,依据随机数字表法将这些患者分为接触溶栓组(n=40)和支架取栓组(n=40)两组,对两组患者的NIHSS评分、临床疗效及生存质量进行统计分析.结果 支架取栓组患者的NIHSS评分显著低于接触溶栓组(P＜0.05),治疗的总有效率95.0％(38/40)显著高于接触溶栓组77.5％ (31/40) (P ＜0.05),生存质量高比例80.0％(32/40)显著高于接触溶栓组50.0％ (20/40) (P ＜0.05),低比例5.0％(2/40)显著低于接触溶栓组30.0％ (12/40)(P＜0.05).结论 支架取栓较接触溶栓更能有效降低急性脑血管闭塞患者的NIHSS评分,提高患者的临床疗效及生存质量.