|
|
|
| The clinical effect of nerve intervention therapy in the treatment of short-term and long-term ischemic cerebrovascular diseases |
| Zuhereayi·Yahefu1 DANG Hui1 WANG Chengfeng1 CHEN Wei2▲ |
1.Department of Neurology, People′s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Uygur Autonomous Region, Urumqi 830001, China;
2.Department of Neurosurgery, the First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi Province, Xi′an 710061, China |
|
|
|
Abstract Objective To explore the clinical effect of nerve intervention therapy in the treatment of short-term and long-term ischemic cerebrovascular diseases. Methods One hundred and thirty-four patients with ischemic cerebr?鄄ovascular disease from March 2015 to June 2016 in People′s Hospital of Xinjiang Uygur Autonomous Region were selected and divided into control group and study group by random number table, with 67 cases in each group. The control group received routine treatment and the study group received neural neurological therapy. One month after trea?鄄tment, the incidence of recanalization, the incidence of complications, the peak systolic velocity (Vs) and end-diastolic velocity (Vd) of the patients were evaluated. The neurological deficit, life ability and the relapse and mortality of ischemic cerebrovascular disease of patients before and after treatment were assessed. Results The recanalization rate of the study group was higher than that of the control group, the total complication rate of the study group was lower than that of the control group, the difference was statistically significant (P ＜ 0.05). The Vs and Vd of the study group were lower than those of the control group, the differences were statistically significant (P ＜ 0.05). After treatment, the scores of NIHSS were lower than before in two groups, the study group after 1, 3, 6 and 12 months treatment were lower than those of the control group, the differences were statistically significant (P ＜ 0.05). The ADL scores of the study group after 6 and 12 months treatment were lower than those of control group, the difference was statistically significant (P ＜ 0.05). The total incidence of recurrence and death of the study group were lower than that in the control group, the differences were statistically significant (P ＜ 0.05). Conclusion Nerve intervention therapy for patients with ischemic cerebrovascular disease can significantly improve the vascular recanalization rate and neurological function, reduce the incidence of complications in a short-term. It can significantly improve the patient's neurological function and the life ability, reduce the recurrence rate and mortality in long-term.
|
|
|
|
|
|
[1] Lundström A，Wallén H，von Arbin M，et al. Clopidogrel Resistance after Minor Ischemic Stroke or Transient Ischemic Attack is Associated with Radiological Cerebral Small-Vessel Disease [J]. J Stroke Cerebrovasc Dis，2015，24（10）：2348-23457.
[2] 邰国峰，高明，任占秀.神经介入治疗在缺血性脑血管病中的临床应用分析[J].航空航天医学杂志，2017，28（3）：294-295.
[3] 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组，中华医学会神经病学分会神经血管介入协作组.中国缺血性脑血管病血管内介入诊疗指南2015[J].中华神经科杂志，2015，48（10）：830-837.
[4] 中华预防医学会卒中预防与控制专业委员会介入学组.缺血性脑血管病介入治疗抗血小板策略中国专家共识[J].中华医学杂志，2015，95（11）：803-809.
[5] 孟庆玲.阿司匹林联合氯吡格雷对急性缺血性脑血管病患者神经功能及日常生活能力的影响[J].中国医药导报，2017，14（22）：69-71，128.
[6] Van Seeters T，Hendrikse J，Biessels GJ，et al. Complete?鄄ness of the circle of Willis and risk of ischemic stroke in patients without cerebrovascular disease [J]. Neuroradio?鄄logy，2015，57（12）：1247-1251.
[7] 王茹芳，赵增富.缺血性脑血管病230例全脑血管造影及介入治疗观察[J].陕西医学杂志，2016，45（5）：539-540.
[8] 唐斌，方翔，张园芳，等.不同剂量阿托伐他汀钙片在缺血性脑血管疾病患者脑血管介入治疗中应用效果的对比研究[J].实用心脑肺血管病杂志，2017，25（6）：57-60.
[9] 郑涛.依达拉奉对急性脑梗死患者血清NSE及NIHSS评分的影响[J].内科，2015，26（8）：349-350.
[10] 焦力群，高鹏，宋庆斌，等.缺血性脑血管病神经介入治疗的阶段式目标教学法[J].中国脑血管病杂志，2015， 12（8）：435-438.
[11] 靳玫，马世江，沈长波，等.老年缺血性脑血管病患者阿司匹林抵抗发生率及影响因素分析[J].中国医药导报，2016，13（24）：156-159.
[12] 张明宇，周杨，李欣欣.介入技术治疗缺血性脑血管疾病的临床疗效[J].中国现代医生，2016，54（13）：98-101.
[13] 赵美英，王润青，刘威，等.缺血性脑血管病脑血管造影及介入治疗术后并发症的分析与处理[J].中国实用神经疾病杂志，2015，18（5）：85-86.
[14] 吴水平.介入治疗缺血性脑血管疾病的中长期预后及安全性临床研究[J].中西医结合心脑血管病杂志，2016， 14（3）：308-310.
[15] 邹蓉，曲晓宁，周艳玲，等.介入技术治疗缺血性脑血管疾病的疗效观察[J].湖南师范大学学报：医学版，2015， 12（3）：62-64.
[16] 卫杰，耿昌明，韦道明，等.介入技术治疗缺血性脑血管疾病49例疗效观察[J].海军医学杂志，2016，37（1）：47-50.
[17] 周宇艺.急性脑梗死患者在早期康复治疗不同介入时机的临床疗效比较[J].实用医技杂志，2016，23（1）：83-84.
[18] 冯金平，李立芳.神经介入治疗缺血性脑血管疾病的近远期疗效及并发症观察分析[J].中国医药导刊，2016， 18（10）：985-987.
[19] 张欣，朱旭，张博等.脑出血患者早期中医康复介入治疗61例随机对照临床研究[J].中国医药科学，2015，（4）：17-19，31.
[20] 张维，代昌飞，张绒，等.介入支架治疗缺血性脑血管疾病的临床疗效观察[J].陕西医学杂志，2016，45（12）：1633-1634.
[21] 徐仁艳.颈部血管彩超对动脉粥样硬化引起缺血性脑血管病评价的临床作用[J].中国医药科学，2014，（21）：111-113.
[22] 龙翠英，郑春玲，黄刚，等.数字减影血管造影下神经介入溶栓术治疗缺血性脑血管疾病的近期及远期疗效[J].中国实用神经疾病杂志，2017，20（1）：34-37. |
|
|
|
