架成形术治疗颅内血管狭窄的疗效分析

马金河

[摘要] 目的 探讨架成形术治疗颅内血管狭窄的疗效分析，为临床应用治疗提供科学理论依据。方法 方便选取该院2016年2月—2017年3月在该院治疗的颅内血管狭窄患者126例为研究对象，随机分为对照组和观察组，每组63例。对照组采用药物治疗治疗，观察组采用架成形术进行治疗，观察两组患者治疗后的狭窄率、神经功能评分等情况。 结果 观察组患者治疗后的血管狭窄评分明显高于对照组，分别为（4.33±2.29）分和（3.16±2.05）%，并发症等情况也好于对照组，经统计学分析，差异有统计学意义（P<0.05）。结论 血管内支架治疗颅内血管狭窄，不仅临床效果高于药物治疗，还可以有效改善患者的神经功能，值得在临床上应用推广。

[关键词] 架成形术；颅内血管狭窄；药物治疗；临床疗效分析

[中图分类号] R743 [文献标识码] A [文章编号] 1674-0742（2017）12（b）-0082-03

[Abstract] Objective To study the curative effect of stent angioplasty in treatment of intracranial artery stenosis and provide scientific theoretical basis for the clinical application and treatment. Methods 128 cases of patients with intracranial artery stenosis treated in our hospital from February 2016 to March 2017 were convenient selected as the research objects and randomly divided into two groups with 64 cases in each， the control group were treated with drugs， while the observation group were treated with stent angioplasty， and the stenosis rate and nerve function score of the two groups after treatment were observed. Results The vessel stenosis score in the observation group was obviously higher than that in the control group after treatment[（4.33±2.29）points vs （3.16±2.05）points]， and the complications were better than those in the control group， and the differences were statistically significant（P<0.05）. Conclusion The clinical effect of stent angioplasty in treatment of intracranial artery stenosis is better than that drug treatment， which can effectively improve the nerve function of patients， and it is worth clinical application and promotion.

[Key words] Stent angioplasty； Intracranial artery stenosis； Drug treatment； Analysis of clinical curative effect

脑血管狭窄是造成患者缺血性脑血管的重要病因之一，不仅使脑血管的血流减少，甚至会使脑细胞缺血死亡，严重影响患者的生存及生活质量[1]。颅内血管狭窄的病因很多，研究表明[2]，年龄与该疾病息息相关，年龄越大患病率越高，除了年龄之外，颈椎病也是颅内血管狭窄的诱发因素。目前，临床上脑血管狭窄的治疗方法主要有药物治疗、外科手术治疗和血管支架治疗等，血管支架治疗是通过支架使患者的血管管腔扩大，从而达到治疗的目的，已经在临床上广泛应用，但是三种治疗方法各有适应证和优缺点，因此该文研究药物治疗和架成形治疗的临床疗效。该院方便选取2016年2月—2017年3月在该院治疗的颅内血管狭窄患者126例为研究对象，研究架成形术和药物治疗的治疗效果，取得较好的效果，现报道如下。……