[1]乔薇薇 王洁 吕红叶 温昌明 陈笛 李祥欣.缺血性脑卒中患者发生呼吸睡眠紊乱的影响因素[J].卒中与神经疾病杂志,2020,27(02):221-224.[doi:10.3969/j.issn.1007-0478.2020.02.018]
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缺血性脑卒中患者发生呼吸睡眠紊乱的影响因素()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第27卷
期数:
2020年02期
页码:
221-224
栏目:
论 著
出版日期:
2020-03-15

文章信息/Info

文章编号:
1007-0478(2020)02-0221-04
作者:
乔薇薇 王洁 吕红叶 温昌明 陈笛 李祥欣
473000 河南省南阳市中心医院
关键词:
缺血性脑卒中 颅内动脉瘤 溶栓治疗 安全性
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2020.02.018
文献标志码:
A
摘要:
目的 探讨rt-PA溶栓对缺血性脑卒中合并颅内未破裂动脉瘤(UIAs)患者的临床治疗安全性。方法 将2015年6月-2018年5月收治行rt-PA溶栓治疗的84例缺血性脑卒中患者作为观察对象,溶栓前常规CT平扫以排除脑出血,溶栓后行DSA、CTA、MRI等颅脑检查,了解患者是否合并UIAs,并将患者分为未合并UIAs(对照组)与合并UIAs(观察组),并分析UIAs对溶栓的预后、不良事件的影响。结果 观察组患者中38例瘤体直径2.0~6.0 mm,1例直径8.5 mm,平均直径(4.2±1.18)mm。2组溶栓后LDL、同型半胱氨酸表达水平比较有显著差异(P<0.05); 观察组溶栓后出血转化发生率11.11%(5/45),溶栓7 d后NIHSS评分(5.1±3.82)分,与对照组溶栓后出血转化发生率7.69%(3/39)及溶栓7 d后NIHSS评分(4.7±2.36)比较无明显差异(P>0.05)。对照组临床有效率、预后良好率分别是42.22%(19/45)、82.22%(37/45),与观察组38.46%(15/39)、79.49%(31/39)比较无明显差异(P>0.05)。结论 缺血性脑卒中患者合并直径≤6.0 mm的颅内未破裂动脉瘤,行rt-PA溶栓治疗不会增加溶栓后出血转化风险,是比较安全的治疗方案

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备注/Memo

备注/Memo:
(2019-08-07收稿)
更新日期/Last Update: 2020-03-15