低NIHSS评分急性大血管闭塞性卒中血管内治疗的疗效与安全性分析
Efficacy and Safety of Endovascular Therapy for Acute Large Vessel Occlusion Stroke with Low NIHSS Score
DOI: 10.12677/ACM.2022.1281025, PDF,    科研立项经费支持
作者: 赵 璇：山东第一医科大学，山东 济南；龚字翔：锦州医科大学，辽宁 锦州；宁召腾, 张童童：潍坊医学院，山东 潍坊；惠 鑫, 张利军, 陈 旺, 王蒙恩, 刘 基, 孙洪扬, 王贤军*：临沂市人民医院神经内科，山东 临沂
关键词: 大血管闭塞；低NIHSS评分；血管内治疗；Large Vessel Occlusion； Low NIHSS Score； Endovascular Treatment
摘要: 目的：探究低NIHSS评分(National Institutes of Health Stroke Scale, NIHSS)急性大血管闭塞(Large Vascular Occlusion, LVO)性卒中患者血管内治疗(Endovascular Treatment, EVT)的疗效及安全性。方法：回顾性收集2020年1月~2021年2月行血管内治疗的急性大血管闭塞性轻型卒中(NIHSS评分 ≤ 5分)患者的临床资料，观察术后血管成功再通率(mTICI ≥ 2b级)、围手术期并发症、90 d良好预后率。结果：97.6% (40/41)的患者实现了血管再通(术后mTICI ≥ 2b)，5例患者术后出现神经功能恶化，3例患者出现颅内出血转化，2例患者病变血管再闭塞，1例患者死亡，87.8% (36/41)的患者90天功能预后良好(mRS ≤ 2)。结论：低NIHSS评分急性大血管闭塞性卒中患者行血管内治疗是安全有效的。
Abstract: Objective: To explore the efficacy and safety of endovascular treatment (EVT) in patients with acute large vessel occlusion (LVO) stroke with low NIHSS score. Methods: The clinical data of patients with acute large vessel occlusion mild stroke (NIHSS score ≤ 5) who underwent endovascular treatment from January 2020 to February 2021 were retrospectively collected. The successful recanalization rate (mTICI ≥ 2b), perioperative complications and 90 day good prognosis rate were observed. Re-sults: 97.6% (40/41) of the patients achieved recanalization (mtici ≥ 2b), 5 patients had neurologi-cal deterioration, 3 patients had intracranial hemorrhage transformation, 2 patients had reocclu-sion of diseased vessels, 1 patient died, and 87.8% (36/41) patients had good 90 day functional prognosis (MRS ≤ 2). Conclusion: Endovascular therapy is safe and effective in patients with acute large vessel occlusion stroke with low NIHSS score.
文章引用：赵璇, 龚字翔, 宁召腾, 张童童, 惠鑫, 张利军, 陈旺, 王蒙恩, 刘基, 孙洪扬, 王贤军. 低NIHSS评分急性大血管闭塞性卒中血管内治疗的疗效与安全性分析[J]. 临床医学进展, 2022, 12(8): 7114-7118. https://doi.org/10.12677/ACM.2022.1281025

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