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目的观察颈动脉颅外段狭窄介入治疗对脑卒中预后的影响。方法选取我院接诊治疗的79例脑卒中患者作为研究对象,根据不同治疗方式分为介入组(40例)与对照组(39例),对照组给予常规药物治疗,介入组在此基础上给予颈动脉颅外段狭窄介入治疗,随访半年对每位患者进行NIHSS、MMSE评分,并记录复发卒中、死亡等恶性事件发生情况。结果介入组再次发生脑卒中1例(2.5%),成功救治;对照组发生5例(12.8%),其中1例救治无效死亡。6个月后介入组患者NIHSS评分明显较对照组更低,MMSE评分更高(P<0.05)。结论颈动脉颅外段狭窄介入治疗脑卒中,患者近期复发率低,疗效良好。
Objective To observe the effect of interventional treatment of extracranial carotid stenosis on the prognosis of stroke. Methods A total of 79 stroke patients admitted to our hospital were selected as study subjects. According to the different treatment methods, they were divided into intervention group (n = 40) and control group (n = 39). The control group was given conventional drug treatment. On the basis of this, Interventional treatment of extracranial stenosis of carotid artery was given. NIHSS and MMSE score of each patient were followed up for six months after follow-up. The incidence of recurrent stroke, death and other malignant events were also recorded. Results In the intervention group, one stroke (2.5%) occurred again and was successfully treated. In the control group, 5 cases (12.8%) occurred, of which 1 died of treatment failure. Six months later, the NIHSS score of the intervention group was significantly lower than that of the control group, and the MMSE score was higher (P <0.05). Conclusion Carotid artery stenosis interventional treatment of stroke, the recent recurrence rate of patients with low, good effect.