陕西医学杂志2024,Vol.53Issue(1):95-98,103,5.DOI:10.3969/j.issn.1000-7377.2024.01.021
替罗非班联合直接取栓对急诊急性脑梗死患者血管再通率影响的临床研究
Effect of direct thrombectomy combined with tirofiban on rate of vascular revascularization in emergency patients with acute cerebral infarction
摘要
Abstract
Objective:To investigate the effect of direct thrombectomy combined with tirofiban on the rate of vascular revascularization in patients with emergency acute cerebral infarction.Methods:A total of 103 cases of acute cerebral infarction were randomly divided into control group(treated with direct thrombectomy,51 cases)and study group(treated with direct thrombectomy combined with tirofiban,52 cases).The time from successful puncture to recanalization,hospitalization time and complications were recorded.The neurological function,recanalization blood flow grade and mRS score were compared between the two groups.Results:The time from successful puncture to re-canalization and hospitalization time in the study group were lower than those in the control group(all P<0.05).After treatment,the neurological function score of the study group was lower than that of the control group(P<0.05).Grade 3 of recanalization blood flow in the study group was higher than that in the control group(P<0.05).The recanalization blood flow rate was 94.23%(49/52)in the study group and 75.00%(39/52)in the control group.The recanalization blood flow rate in study group was higher than that in control group(P<0.05).After treatment,the mRS score of the study group was lower than that of the control group(P<0.05).The complication rate of the study group was lower than that of the control group(P<0.05).Conclusion:Direct thrombectomy com-bined with tirofiban can effectively improve vascular revascularization rate and improve the prognosis of patients with emergency acute cerebral infarction.关键词
急性脑梗死/直接取栓/替罗非班/急诊/穿刺成功到再通时间/神经功能Key words
Acute cerebral infarction/Direct thrombectomy/Tirofiban/Emergency/Time from successful puncture to recanalization/Neural function分类
医药卫生引用本文复制引用
朱钦辉,陈丹霞,魏统国..替罗非班联合直接取栓对急诊急性脑梗死患者血管再通率影响的临床研究[J].陕西医学杂志,2024,53(1):95-98,103,5.基金项目
广东省中医药局科研项目(20222235) (20222235)