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目的:研究分析早期介入微弹簧圈栓塞治疗脑动脉瘤破裂的疗效及预后。方法:选取我院2011年至2014年期间收治的脑动脉瘤破裂患者96例作为研究对象。根据数字法随机分成观察组及对照组各48例,观察组患者在入院3d之内实施微弹簧圈栓塞形式介入治疗,对照组治疗时间为入院3 d后。对比两组患者临床治疗疗效、并发症发生情况、以及术后6个月的改良Rankin量表(m RS)、改良型日常生活能力(MBI)评分。结果:观察组的栓塞效果显著好于对照组,差异有统计学意义(P<0.05)。观察组术后6个月的m RS评分显著低于对照组,且MBI评分显著高于对照组,差异均有统计学意义(均P<0.05)。观察组的并发症发生率均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:入院3d之内利用微弹簧圈栓塞对脑动脉瘤破裂实施早期介入治疗,具有较好的疗效及预后,值得临床重视。
OBJECTIVE: To study the curative effect and prognosis of cerebral aneurysm rupture treated with embolization of early coil. Methods: A total of 96 patients with cerebral aneurysm rupture admitted from 2011 to 2014 in our hospital were selected as the research object. According to the digital method, 48 cases in each group were randomly divided into observation group and control group. The patients in observation group were treated with the embolization method of micro-coil embolization within 3 days after admission. The treatment time in control group was 3 days after admission. The curative effect and complication of the two groups were compared, as well as modified Rankin Scale (m RS) and Modified MBI score at 6 months after operation. Results: The embolization effect of the observation group was significantly better than that of the control group, the difference was statistically significant (P <0.05). The mRS score of the observation group at 6 months after operation was significantly lower than that of the control group, and the MBI score was significantly higher than that of the control group (all P <0.05). The incidence of complication in observation group was significantly lower than that in control group (all P <0.05). Conclusion: Early interventional treatment of cerebral aneurysm rupture with micro-coil embolization within 3 days of admission has good curative effect and prognosis, which deserves clinical attention.