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Early interventional embolization in the treatment of cerebral aneurysm rupture

机译:早期介入栓塞治疗脑动脉瘤破裂

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Objective: To analyze the clinical effectiveness and safety of early interventional embolization in the treatment of ruptured cerebral aneurysm. Methods: Eighty-eight patients with cerebral aneurysm rupture who were admitted to the hospital between February 2015 and October 2016 were selected as the research subjects and were randomly divided into a control group (N=44) and an observation group (N=44) using random number table. Patients in the control group were given interventional embolization three days after admission, while patients in the observation group were given interventional embolization within three days after admission. The complete, sub complete and incomplete embolization rates were compared between the two groups. The prognosis of the patients was evaluated using modified Rankin scale and modified Barthel index. The incidences of complications were recorded. Results: The complete, sub-complete and incomplete embolization rates of the observation group and control group were significantly different (P0.05). The modified Rankin score of the observation group was remarkably lower than that of the control group, and the modified Barthel index of the observation group was remarkably higher than that of the control group; the differences had statistical significance (P0.05). The incidence of complications of the observation group was lower than that of the control group, and the difference had statistical significance (P0.05). Conclusion: Early interventional embolization has satisfactory effect in the treatment of cerebral aneurysm rupture and effectively improve prognosis; hence it is worth promotion in clinical practice.
机译:目的:分析早期介入栓塞治疗破裂性脑动脉瘤的临床疗效和安全性。方法:选择2015年2月至2016年10月期间住院的88例脑动脉瘤破裂患者为研究对象,随机分为对照组(N = 44)和观察组(N = 44)。使用随机数表。对照组的患者在入院后三天接受介入栓塞治疗,而观察组的患者在入院后三天内接受介入栓塞治疗。比较两组的完全,次完全和不完全栓塞率。使用改良的Rankin量表和改良的Barthel指数评估患者的预后。记录并发症的发生率。结果:观察组与对照组的完全,次完全和不完全栓塞率差异有统计学意义(P <0.05)。观察组改良兰金评分明显低于对照组,观察组改良Barthel指数明显高于对照组。差异具有统计学意义(P <0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P <0.05)。结论:早期介入栓塞治疗脑动脉瘤破裂疗效满意,有效改善预后。因此在临床实践中值得推广。

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