CAJ | 학술논문

目的：探讨颈动脉内膜剥脱对亚急性脑梗死患者的临床治疗效果。方法将来我院诊治的60例患者随机分为两组。对照组行保守治疗,实验组采用颈动脉内膜剥脱治疗,比较两组的治疗效果。结果实验组总有效率达93.3%,显著高于对照组(80.0%),差异具有统计学意义(P<0.05)。治疗后两组PT、TT、FIB比较,差异不显著(P>0.05)；实验组治疗后APTT(27.9±2.4)s,低于对照组(30.4±6.8)s,差异显著(P<0.05)；实验组的不良反应发生率为20.0%,低于对照组(53.3%),差异显著(P<0.05)。结论亚急性脑梗死发病率较高,临床上采用颈动脉内膜剥脱治疗能够提高临床治疗效果,降低并发症发生率,值得推广使用。
목적：탐토경동맥내막박탈대아급성뇌경사환자적림상치료효과。방법장래아원진치적60례환자수궤분위량조。대조조행보수치료,실험조채용경동맥내막박탈치료,비교량조적치료효과。결과실험조총유효솔체93.3%,현저고우대조조(80.0%),차이구유통계학의의(P<0.05)。치료후량조PT、TT、FIB비교,차이불현저(P>0.05)；실험조치료후APTT(27.9±2.4)s,저우대조조(30.4±6.8)s,차이현저(P<0.05)；실험조적불량반응발생솔위20.0%,저우대조조(53.3%),차이현저(P<0.05)。결론아급성뇌경사발병솔교고,림상상채용경동맥내막박탈치료능구제고림상치료효과,강저병발증발생솔,치득추엄사용。
Objective To investigate the clinical efficacy of carotid endarterectomy in treatment of patients with suba-cute cerebral infarction. Methods Sixty patients diagnosed and treated in our hospital were analyzed and randomly di-vided into two groups. The control group was given conservative treatment and the experimental group was given carotid endarterectomy treatment. The treatment effects of the two groups were compared. Results The treatment effects were ideal for 93.3% of the experimental group, which was higher than that of the control group (80.0%) (P<0.05); After the treatment, two groups were not significantly different in indicators such as PT, TT and FIB (P>0.05); After treatment, APTT of the experimental group was (27.9±2.4) seconds, which was lower than that of the control group(30.4±6.8) sec-onds(P<0.05); The incidence of surgical adverse reactions of the experimental group was 20.0%, which was lower than that of the control group (53.3%)(P<0.05). Conclusion The incidence of subacute cerebral infarction is relatively high. The clinical application of carotid endarterectomy shows good treatment effects, can improve clinical treatment effects and reduce the incidence of complications, thereby worthy of promotion and application.