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目的:对比内科疗法与支架植入对颅内动脉狭窄的临床疗效情况。方法:2014年5月-2015年1月选取我院75例颅内动脉狭窄患者,按照患者入院顺序的奇偶性,将其分为试验组(n=37)及对照组(n=38),两组分别接受支架植入及内科治疗,比较两组临床改善率、短暂性脑缺血及脑梗死发生率。结果:试验组临床改善率为89.19%,明显高于对照组65.79%(P<0.05)。治疗6个月内,试验组短暂性脑缺血及脑梗死发生率为5.41%,显著低于对照组21.05%(P<0.05)。结论:采用支架植入治疗颅内动脉狭窄可有效改善患者临床症状,减低短暂性脑缺血及脑梗死发生率。
Objective: To compare the clinical effects of medical therapy and stent implantation on intracranial arterial stenosis. Methods: From May 2014 to January 2015, 75 patients with intracranial arterial stenosis in our hospital were selected and divided into experimental group (n = 37) and control group (n = 38) according to the parity of admission sequence. Two groups received stent implantation and medical treatment respectively. The clinical improvement rate, transient cerebral ischemia and incidence of cerebral infarction were compared between the two groups. Results: The clinical improvement rate of the experimental group was 89.19%, which was significantly higher than that of the control group (65.79%, P <0.05). Within 6 months after treatment, the incidence of transient ischemic attack and cerebral infarction was 5.41% in the experimental group, which was significantly lower than that in the control group (21.05%, P <0.05). Conclusion: The treatment of intracranial artery stenosis with stent implantation can effectively improve the clinical symptoms and reduce the incidence of transient cerebral ischemia and cerebral infarction.