Application comparison of selective arterial thrombolysis combined with arterial stent angioplasty and intravenous thrombolysis in the treatment of patients with ultra-early acute cerebral infarction
LIAO Bin WANG Dan-dan LI Xiu-xiu
Department of Psychosurgery, Ji′an Intergration of Traditional Chinese and Western Medicine Hospital
Abstract：Objective To explore the clinical application effect of selective arterial thrombolysis combined with arterial stent angioplasty and intravenous thrombolysis in the treatment of patients with ultra-early acute cerebral infarction.Methods A total of 60 patients with early acute cerebral infarction who admitted to Ji′an Intergration of Traditional Chinese and Western Medicine Hospital from October 2019 to August 2020 were selected as the research objective.They were divided into the experimental group and the control group using the data parity arrangement method, with 30 cases in each group. Patients in the control group were treated with intravenous thrombolysis, and patients in the experimental group were treated with selective arterial thrombolysis and arterial stent angioplasty. Coagulation indexes,total response rate and National Institutes of Health stroke scale (NIHSS) scores were compared between the two groups.Results After 6 h, 3, 7 d treatment, the thrombin time (TT) and prothrombin time (PT) in experimental group were longer than those in control group, and the differences were statistically significant (P<0.05), after 6 h, 3, 7 d, the fibrinogen (FIB) in the experimental group were lower than those of the control group, and the differences were statistically significant (P<0.05). The total effective rate and NIHSS score after 7 d of treatment in experimental group were higher than those in control group, and the differences were statistically significant (P<0.05). Conclusion The implementation of selective arterial thrombolysis and arterial stent angioplasty in the treatment of patients with ultra-early acute cerebral infarction is beneficial to the optimization of the treatment effect, and the treatment effectiveness of the patient is improved, which has clinical promotion value.
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