[1]王昊,束汉生,闵敬亮,等.年龄及其他临床因素对急性脑梗死患者支架取栓术预后的影响[J].临床神经外科杂志,2020,17(02):212-215.[doi:DOI:10.3969/j.issn.1672-7770.2020.02.020]
　WANG Hao,SHU Han-sheng,MIN Jing-liang,et al.A comparative study of influence of age on prognosis of patients with cerebral infarction undergoing mechanical thrombectomy[J].Journal of Clinical Neurosurgery,2020,17(02):212-215.[doi:DOI:10.3969/j.issn.1672-7770.2020.02.020]
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年龄及其他临床因素对急性脑梗死患者支架取栓术预后的影响()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年02期
页码:
212-215
栏目:
临床研究
出版日期:
2020-04-15

文章信息/Info

Title:
A comparative study of influence of age on prognosis of patients with cerebral infarction undergoing mechanical thrombectomy
文章编号:
202002020
作者:
王昊; 束汉生; 闵敬亮; 杨光; 张辉; 程哲
233000 蚌埠，蚌埠医学院第二附属医院神经外科
Author(s):
WANG Hao;  SHU Han-sheng;  MIN Jing-liang;  et al.
Department of Neurosurgery, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China
关键词:
急性缺血性脑卒中; 支架取栓; 预后
Keywords:
acute ischemic stroke;  stent thrombectomy;  prognosis
分类号:
R743.33
DOI:
DOI:10.3969/j.issn.1672-7770.2020.02.020
文献标志码:
D
摘要:
目的探讨年龄及其他临床因素对急性缺血性脑梗死患者支架取栓术预后的影响。方法回顾性分析蚌埠医学院第二附属医院神经外科2015年6月—2019年5月收治的62例急性缺血性脑梗死行支架取栓术患者的临床资料。其中≥70岁的患者30例，＜70岁的患者32例。分析比较两组患者的血管再通率，术后24 h美国国家卫生研究院卒中量表（NIHSS）评分改善率，术后90 d改良Rankin量表（mRS）评分改善率。结果≥70岁组患者中，支架取栓术后成功血运重建者28例，其中血管完全再通者18例，24 h NIHSS评分改善者12例，90 d mRS评分改善者15例。＜70岁组患者中，支架取栓术后成功血运重建者30例，其中血管完全再通者17例，24 h NIHSS评分改善者13例，90 d mRS评分改善者21例。≥70岁组与＜70岁组患者的成功血运重建率、血管完全再通率和90 d mRS评分改善率比较，差异均无统计学意义（均P＞0.05）。回归分析显示，基线NIHSS评分和完全血运重建是对术后90 d 预后的影响因素。结论影响急性脑梗死患者支架取栓术后预后的主要因素是基线NIHSS评分和完全血运重建，而不是年龄。
Abstract:
Objective To evaluate the efficacy and safety of mechanical thrombectomy in over-70-year-old patients with acute ischemic stroke. Methods The data of 62 cases who underwent mechanical thrombectomy in the Second Affiliate of Bengbu Medical College from June 2015 to May 2019 due to acute ischemic cerebral infarction were analyzed retrospectively, including 30 cases ≥70 years old, and 32 cases ＜70 years old. The recanalization rate of the two groups patients, the improvement rate of the 24 h National Institutes Health Stroke Scale(NIHSS) score and the 90 d Modified Rankin Scale(mRS) score were analyzed and compared. Results 28 patients with successful revascularization in the over-70-year-old group, including 18 with complete recanalization, 12 with improved 24 h NIHSS score, and 15 with improved 90-day mRS score. In the below-70-year-old patient group, 30 patients underwent successful revascularization, including 17 with complete recanalization, 13 with 24 h NIHSS score improvement, and 21 with improved 90-day mRS score. Statistical analysis showed that there was no significant difference between the two groups in the successful revascularization rate, complete recanalization rate and 90-day mRS score improvement rate(all P＞0.05). Regression analysis showed that baseline NIHSS score and complete revascularization were important indicators of 90-day prognosis. Conclusion The main outcomes of patients who underwent mechanical thrombectomy are baseline NIHSS scores and complete revascularization rather than age classification.

相似文献/References:

[1]李继坤,刘祺,田卫东,等.急性缺血性脑卒中血管内治疗的临床应用[J].临床神经外科杂志,2018,15(04):275.
　LI Ji-kun,LIU Qi,TIAN Wei-dong,et al.Clinical application of endovascular treatment for acute ischemic stroke[J].Journal of Clinical Neurosurgery,2018,15(02):275.
[2]韩玉庆,许阳阳,张涛,等.5F Navien作为远端通路导管在急性缺血性脑卒中取栓中的应用[J].临床神经外科杂志,2019,16(3):250.[doi:10.3969/j.issn.1672-7770.2019.03.014]
　HAN Yu-qing,XU Yang-yang,ZHANG Tao,et al.Application of 5F Navier as distal access catheter in thrombectomy for acute ischemic stroke[J].Journal of Clinical Neurosurgery,2019,16(02):250.[doi:10.3969/j.issn.1672-7770.2019.03.014]

更新日期/Last Update: 2020-04-21