CAJ | 학술논문

目的：分析机械取栓与动静脉联合溶栓治疗急性脑梗死临床效果及预后。方法选取2012年1月—2014年1月收治的急性脑梗死96例，随机分为观察组和对照组，每组48例，对照组给予动静脉联合溶栓治疗，观察组给予机械取栓治疗。结果观察组总有效率明显高于对照组(P <0．05)；观察组术后血管再通率、≤30%残余狭窄率明显高于对照组(P <0．05)，两组颅内出血率与术后3个月病死率之间结果无显著性差异(P >0．05)。结论机械取栓治疗急性脑梗死的临床效果及预后效果要明显优于动静脉联合溶栓。
목적：분석궤계취전여동정맥연합용전치료급성뇌경사림상효과급예후。방법선취2012년1월—2014년1월수치적급성뇌경사96례，수궤분위관찰조화대조조，매조48례，대조조급여동정맥연합용전치료，관찰조급여궤계취전치료。결과관찰조총유효솔명현고우대조조(P <0．05)；관찰조술후혈관재통솔、≤30%잔여협착솔명현고우대조조(P <0．05)，량조로내출혈솔여술후3개월병사솔지간결과무현저성차이(P >0．05)。결론궤계취전치료급성뇌경사적림상효과급예후효과요명현우우동정맥연합용전。
Objective To analyze the clinical effect and prognosis of mechanical thrombectomy and arteriove-nous thrombolysis in treatment of acute cerebral infarction. Methods A total of 96 patients with acute cerebral infarction admitted during January 2012 and January 2014 were randomly divided into control group (n = 48) and observation group (n = 48). The control group was given arteriovenous thrombolysis therapy, while the observation group was given me-chanical thrombectomy therapy. Results The total efficiency rate of the observation group was obviously higher than that of the control group (P < 0. 05). The postoperative recanalization rate and the residual stenosis rate (≤30% ) of the ob-servation group were obviously higher than those of the control group (P < 0. 05). There were no significant differences in intracranial hemorrhage rate and mortality rate of postoperative 3 months between the two groups (P > 0. 05). Conclusion The clinical effect and prognosis of mechanical thrombectomy in treatment of acute cerebral infarction are significantly better than those of arteriovenous thrombolysis.