实用临床医药杂志2024，Vol.28Issue(19)：100-104,5.DOI:10.7619/jcmp.20234250
急性后循环大动脉闭塞性脑卒中血管内治疗的临床预后分析
Clinical prognosis of acute posterior circulation large artery occlusive stroke via endovascular therapy
摘要
Abstract
Objective To summarize the clinical characteristics of patients with acute posterior circulation large artery occlusive stroke within 6 hours via endovascular therapy and analyze the risk factors for poor prognosis.Methods Clinical data of 43 patients with acute posterior circulation large artery occlusive stroke within 6 hours from January 2017 to June 2023 in the Department of Neurosur-gery of the Affiliated People's Hospital of Jiangsu University were collected.The baseline data,the vascular recanalization rate,symptomatic intracranial hemorrhage rate,90 d good prognosis[modified Rankin Scale(mRS)score≤2]rate,and mortality were analyzed retrospectively.Univariate and multivariate Logistic regression analyses were applied to analyze the risk factors associated with poor prognosis(mRS score＞2).Results After endovascular treatment,successful revascularization was achieved in 34 cases,and 4 cases developed symptomatic intracranial hemorrhage.At the 90-day fol-low-up,20 patients had good outcomes,12 had poor outcomes,and 11 died.Univariate analysis sug-gested that there was a statistically significant difference in preoperative NIHSS scores between the two groups(P＜0.05).Binary logistic regression analysis showed that a high preoperative NIHSS score was an independent risk factor for poor prognosis.Conclusion Early endovascular treatment can sig-nificantly improve the revascularization rate and prognosis of patients with acute posterior circulation large artery occlusion stroke.Preoperative NIHSS score can be used as an independent influencing fac-tor to predict the prognosis of patients.关键词
椎动脉/基底动脉/大血管闭塞/血管内治疗/卒中/预后Key words
vertebral artery/basilar artery/large vessel occlusion/endovascular treatment/stroke/prognosis分类
医药卫生引用本文复制引用
陈伟,丁璐,周洲,曹侃,梅照军,陈波,陆新宇..急性后循环大动脉闭塞性脑卒中血管内治疗的临床预后分析[J].实用临床医药杂志,2024,28(19):100-104,5.基金项目
江苏省镇江市高层次领军人才培养科研项目(2021-169DT-19) （2021-169DT-19）
