动静脉联合溶栓与机械取栓治疗急性脑梗死的临床疗效及对患者预后的影响

doi:10.3969/j.issn.1006-6233.2017.09.027

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Abstract Objective: To investigate the clinical efficacy of intravenous thrombolysis combined with mechanical thrombectomy for acute cerebral infarction and its effect on prognosis. Method: 96 patients with acute cerebral infarction in our hospital were selected and divided into Intravenous thrombolysis group and Thrombectomy group. There were 12 cases in the mechanical thrombectomy group, and the other in the intravenous thrombolysis group, including thrombolysis in 22 cases, intravenous thrombolysis in 46 cases, and intravenous thrombolysis in patients with arteriovenous shunt in 16 cases.The clinical efficacy and NIHSS score of the two groups were compared. Results: The total effective rate was 83.33%,higher than Bridging group (62.50%), artery group (54.55%) and the venous group (39.13%), the difference was statistically significant (P<0.05)|After treatment, the NIHSS scores of the four groups were decreased|and arterial thrombolysis group and intravenous thrombolysis group and arteriovenous thrombolysis bridging group, thrombectomy group total vascular recanalization rate, lower NIHSS score, the difference has statistical significance (P<0.05)|The incidence of intracranial hemorrhage occurred in 4 cases of arterial thrombolysis group (18.18%),Venous group of 8 cases (17.39%), Arteriovenous bridging group of 2 case(12.5%), The thrombectomy group 2 case (16.67%),there was no significant difference (P>0.05). Conclusion: The use of thrombectomy and thrombolysis method has certain therapeutic effect on acute cerebral infarction, but mechanical thrombectomy can effectively improve the recanalization rate, NIHSS score and clinical curative effect, promote the recovery of physiological function of the patients.

Key words： Acute cerebral infarction Arterial thrombolysis Intravenous thrombolysis Intravenous thrombolysis Mechanical thrombectomy

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	Articles by authors
	XIAO Wen
	PU Xiaolong
	BAI Zhangyong
	et al

Cite this article:

XIAO Wen,PU Xiaolong,BAI Zhangyong, et al. Clinical Efficacy of Intravenous Thrombolysis combined with Mechanical Thrombectomy for Acute Cerebral Infarction and its Effect on Prognosis[J]. 河北医学, 2017, 23(9): 1498-1501.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.09.027 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I9/1498

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