神经介入治疗脑血管病的临床疗效观察
|
摘要
目的观察神经介入治疗脑血管病的临床疗效。方法选取2014年5月—2016年5月天门市第一人民医院收治的脑血管病患者100例,根据治疗方法分为对照组45例和观察组55例。对照组患者行传统开颅手术治疗,观察组患者行神经介入治疗。比较两组患者手术成功率、术后满意度、脑血管病复发情况及围术期并发症发生情况。结果两组患者手术成功率均为100.0%。观察组患者术后满意度优于对照组(P<0.05)。观察组患者术后3个月脑血管病复发率低于对照组(P<0.05)。观察组患者围术期并发症发生率低于对照组(P<0.05)。结论与传统开颅手术相比,神经介入治疗可更有效地降低脑血管病患者术后复发率和围术期并发症发生率,且患者满意度较高。
Objective To observe the clinical effect of neurointerventional therapy on cerebrovascular disease.Methods A total of 100 patients with cerebrovascular disease were selected in the First People's Hospital of Tianmen from May2014 to May 2016,and they were divided into control group( n = 45) and observation group( n = 55) according to therapeutic methods. Patients of control group were treated with traditional craniotomy,while patients of observation group were treated with neurointerventional therapy. Surgical success rate,postoperative satisfaction,recurrence of cerebrovascular disease,incidence of perioperative complications were compared between the two groups. Results Surgical success rates of the two group were both100. 0%. Postoperative satisfaction of observation group was statistically significantly better than that of control group( P <0. 05). The recurrent rate of cerebrovascular disease of observation group was statistically significantly lower than that of control group after 3 months of surgery( P < 0. 05). Incidence of perioperative complications of observation group was statistically significantly lower than that of control group( P < 0. 05). Conclusion Compared with traditional craniotomy,neurointerventional therapy can more effectively reduce the recurrent rate of cerebrovascular disease and risk of perioperative complications in treating cerebrovascular disease,with higher postoperative satisfaction.
Objective To observe the clinical effect of neurointerventional therapy on cerebrovascular disease.Methods A total of 100 patients with cerebrovascular disease were selected in the First People's Hospital of Tianmen from May2014 to May 2016,and they were divided into control group( n = 45) and observation group( n = 55) according to therapeutic methods. Patients of control group were treated with traditional craniotomy,while patients of observation group were treated with neurointerventional therapy. Surgical success rate,postoperative satisfaction,recurrence of cerebrovascular disease,incidence of perioperative complications were compared between the two groups. Results Surgical success rates of the two group were both100. 0%. Postoperative satisfaction of observation group was statistically significantly better than that of control group( P <0. 05). The recurrent rate of cerebrovascular disease of observation group was statistically significantly lower than that of control group after 3 months of surgery( P < 0. 05). Incidence of perioperative complications of observation group was statistically significantly lower than that of control group( P < 0. 05). Conclusion Compared with traditional craniotomy,neurointerventional therapy can more effectively reduce the recurrent rate of cerebrovascular disease and risk of perioperative complications in treating cerebrovascular disease,with higher postoperative satisfaction.
引文
[1]李宁.105例神经介入检查治疗的护理分析[J].国际护理学杂志,2014,33(5):1114-1116.
[2]温江.介入栓塞术与手术夹闭法治疗动脉瘤性蛛网膜下腔出血临床效果的比较研究[J].实用心脑肺血管病杂志,2016,24(1):47-50.
[3]张磊,梁迎春,宁方波,等.氯吡格雷反应性与神经介入手术血管事件相关性研究[J].神经损伤与功能重建,2015,10(4):304-306.
[4]MADDOCK H,COOPER S,SANDHU H,et al.Tumefactive appearance of peripheral nerve involvement in hematologic malignancies:a new imaging association[J].Skeletal Radiology,2015,44(7):1001-1009.
[5]任庆华,黄云东,王丹,等.经桡动脉路径行选择性全脑血管造影术的效果分析[J].实用心脑肺血管病杂志,2014,22(4):84-86.
[6]SOUSSAN J B,DESCHAMPS R,SADIK J C,et al.Infraorbital nerve involvement on magnetic resonance imaging in european patients with Ig G 4-related ophthalmic disease:a specific sign[J].European Radiology,2016:1-9.
[7]NOJSZEWSKA M,USAKOWSKA A,SZMIDT-SALKOWSKA E,et al.Peripheral nerve involvement in myotonic dystrophy type 2——similar or different than in myotonic dystrophy type 1[J].Neurologia I Neurochirurgia Polska,2015,49(3):164-170.
[2]温江.介入栓塞术与手术夹闭法治疗动脉瘤性蛛网膜下腔出血临床效果的比较研究[J].实用心脑肺血管病杂志,2016,24(1):47-50.
[3]张磊,梁迎春,宁方波,等.氯吡格雷反应性与神经介入手术血管事件相关性研究[J].神经损伤与功能重建,2015,10(4):304-306.
[4]MADDOCK H,COOPER S,SANDHU H,et al.Tumefactive appearance of peripheral nerve involvement in hematologic malignancies:a new imaging association[J].Skeletal Radiology,2015,44(7):1001-1009.
[5]任庆华,黄云东,王丹,等.经桡动脉路径行选择性全脑血管造影术的效果分析[J].实用心脑肺血管病杂志,2014,22(4):84-86.
[6]SOUSSAN J B,DESCHAMPS R,SADIK J C,et al.Infraorbital nerve involvement on magnetic resonance imaging in european patients with Ig G 4-related ophthalmic disease:a specific sign[J].European Radiology,2016:1-9.
[7]NOJSZEWSKA M,USAKOWSKA A,SZMIDT-SALKOWSKA E,et al.Peripheral nerve involvement in myotonic dystrophy type 2——similar or different than in myotonic dystrophy type 1[J].Neurologia I Neurochirurgia Polska,2015,49(3):164-170.