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神经介入治疗缺血性脑血管病的临床效果分析

Clinical Effect Analysis of Nerve Interventional Treatment of Ischemic Cerebrovascular Disease
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摘要 目的 探讨神经介入治疗缺血性脑血管病的临床效果。方法 选取2020年8月—2022年4月本院收治的60例缺血性脑血管病患者为研究对象,以随机数字抽签法将患者分成对照组和观察组,每组30例。对照组采用常规治疗,观察组采用神经介入治疗,分析两组患者治疗前后的血管狭窄情况、神经功能缺损情况与日常生活能力、并发症发生情况,比对组间数据存在的差异性。结果 治疗前,两组患者的Vd(舒张末期流速)、Vs(收缩期峰流速)及血管狭窄率相比区别不大,差异无统计学意义(P>0.05);治疗后,观察组患者的Vd、Vs及血管狭窄率与对照组患者的各项指标相比明显更低,组间差异有统计学意义(P<0.05)。治疗前,两组患者的NIHSS评分、ADL评分相比,组间数据无统计意义(P>0.05);治疗后,观察组患者的各项评分明显更优于对照组患者,差异存在统计学意义(P<0.05)。观察组并发症发生率比对照组显著更低,组间数据具有统计学意义(P<0.05)。结论 对于缺血性脑血管病患者的治疗,临床应用神经介入治疗的效果最为理想,对患者的血管狭窄情况起到明显改善作用,利于患者神经功能的恢复,且并发症相对较少,值得推广。 Objective To investigate the clinical effect of nerve interventional therapy on ischemic cerebrovascular disease.Methods From August 2020 to April 2022,a total of 60 patients with ischemic cerebrovascular disease admitted to our hospital were used as the object of this study.The patients were divided into two groups for treatment by random number drawing method,with 30 patients in each group.The control group was treated with routine treatment,and the observation group was treated with neural interventional therapy Blood vessel stenosis,neurological impairment,daily living ability and complications were compared with the differences between the groups.Results Before treatment,there was no significant difference in Vd,Vs and vascular stenosis rates between the two groups(P>0.05).After treatment,Vd,Vs and vascular stenosis rates in the observation group were significantly lower than those in the control group,and the data between the two groups were significantly different(P<0.05).Compared with the NIHSS score and ADL score of the two groups,there was no statistical significance between the two groups before treatment(P>0.05).After treatment,the scores of patients in the observation group were significantly better than those in the control group,with statistical significance(P<0.05);According to the statistics of cerebrovascular spasm,slowed heart rate and decreased blood pressure in the two groups,the complication rate in the observation group was 6.66%,which was significantly lower than 20.00%in the control group,and the inter-group data had statistical significance(P<0.05).Conclusion The clinical application of nerve interventional therapy in the treatment of patients with ischemic cerebrovascular disease has the most ideal effect,which can significantly improve the vascular stenosis of patients and is conducive to the recovery of neurological function of patients, and the complications are relatively few, which is worthy of promotion.
作者 白宇 BAI Yu(The Second People's Hospital of Bijie City,Bijie Guizhou 551700)
出处 《智慧健康》 2024年第4期80-83,共4页 Smart Healthcare
关键词 神经介入治疗 缺血性脑血管病 血管狭窄 Nerve interventional therapy Ischemic cerebrovascular disease Vascular stenosis
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