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目的观察颈动脉支架在缺血性脑血管病防治中的应用效果。方法将我院及广州珠江医院2009年1月-2011年12月间收治的伴随颈动脉狭窄的缺血性脑血管病患者随机抽样92例,按是否行颈动脉支架置入术分为观察组和对照组各46例。对照组行单纯药物治疗,观察组予颈动脉支架置入术并药物治疗。参照北美颈动脉外科学会(NASCET)制定的标准分别对两组患者的颈动脉狭窄程度进行评价。同时,行3个月-2年的随访,分别调查并统计两组患者治疗后缺血性脑卒中及死亡的联合发生情况。结果观察组患者治疗后颈动脉重度狭窄的比率为6.52%,对照组为26.08%(P<0.05);观察组患者缺血性脑卒中及死亡的联合发生率为8.69%,对照组为34.79%(P<0.05)。结论颈动脉支架置入在缺血性脑血管病防治中能有效降低颈动脉狭窄程度,同时降低患者缺血性脑卒中及死亡的联合发生率。
Objective To observe the effect of carotid artery stenting in the prevention and treatment of ischemic cerebrovascular disease. Methods A total of 92 patients with ischemic cerebrovascular disease accompanied by carotid stenosis admitted to our hospital and Guangzhou Zhujiang Hospital from January 2009 to December 2011 were randomly divided into observation group And control group of 46 cases each. The control group received simple drug therapy, and the observation group received carotid artery stenting and drug treatment. The degree of carotid stenosis was evaluated in each of the two groups according to criteria established by the North American Society of Carotid Artery Surgery (NASCET). At the same time, three months - two years of follow-up, were investigated and statistical treatment of two groups of patients with ischemic stroke and death after the joint occurrence. Results The ratio of severe carotid stenosis was 6.52% in the observation group and 26.08% in the control group (P <0.05). The incidence of ischemic stroke and death in the observation group was 8.69% and in the control group was 34.79% (P <0.05). Conclusion Carotid artery stenting can effectively reduce the degree of carotid artery stenosis and reduce the combined incidence of ischemic stroke and death in patients with ischemic cerebrovascular disease.