中国卒中杂志2016，Vol.11Issue(10)：824-828,5.DOI:10.3969/j.issn.1673-5765.2016.10.003
急性大脑中动脉闭塞性脑梗死静脉溶栓后血管再通与预后
The Recanalization and Prognosis of Acute Cerebral Infarction Patients with Middle Cerebral Artery Occlusion after Intravenous Thrombolytic Treatment
摘要
Abstract
Objective To investigate the association between recanalization and prognosis of acute cerebral infarction patients with middle cerebral artery (MCA) occlusion after intravenous thrombolytic treatment. <br> Methods The data of acute cerebral infarction patients with MCA occlusion who received intravenous thrombolytic treatment were retrospectively analyzed. The recanalization rate after thrombolysis was analyzed. The safety and efifcacy outcome between recanalization group and no recanalization group were compared. <br> Results A total of 67 patients were included. The rate of recanalization of MCA was 55.2%. For the functional independence outcome at 90 days, recanalization group (n=37) was signiifcantly better than no recanalization group (n=30) (72.97%vs 43.33%,OR=3.5,P=0.014). For the excellent recovery outcome at 90 days, the former was also significantly better than the latter (64.86%vs 26.67%, OR=5.1,P=0.002). There were no signiifcant differences for the symptomatic intracranial hemorrhage and mortality between the two groups. <br> Conclusion The recanalization rate of acute cerebral infarction patients with MCA occlusion is relatively high, and recanalization is strongly associated with prognosis. For these patients, bridge-treatment is the optimal choice.关键词
脑梗死/溶栓/再通/预后Key words
Cerebral infarction/Thrombolytic treatment/Recanalization/Prognosis引用本文复制引用
廖晓凌,王伊龙,潘岳松,王春娟,陈胜云,赵性泉,王春雪,刘丽萍,王拥军..急性大脑中动脉闭塞性脑梗死静脉溶栓后血管再通与预后[J].中国卒中杂志,2016,11(10):824-828,5.基金项目
“十二五”及“十一五”国家科技支撑计划 （）
