[1]杨洋,贺迎坤,李钊硕,等.一站式卒中救治平台在急性前循环大动脉闭塞性脑梗死机械开通治疗中的应用[J].介入放射学杂志,2025,34(03):238-242.
YANG Yang,HE Yingkun,LI Zhaoshuo,et al.Application of one-stop stroke treatment platform in mechanical endovascular thrombectomy for acute anterior circulation large artery occlusive cerebral infarction[J].journal interventional radiology,2025,34(03):238-242.
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一站式卒中救治平台在急性前循环大动脉闭塞性脑梗死机械开通治疗中的应用(
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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34
- 期数:
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2025年03
- 页码:
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238-242
- 栏目:
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神经介入
- 出版日期:
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2025-03-25
文章信息/Info
- Title:
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Application of one-stop stroke treatment platform in mechanical endovascular thrombectomy for acute anterior circulation large artery occlusive cerebral infarction
- 作者:
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杨洋; 贺迎坤; 李钊硕; 李强
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- Author(s):
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YANG Yang; HE Yingkun; LI Zhaoshuo; LI Qiang.
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Cerebrovascular Department of Interventional Center,Zhengzhou University People′s Hospital (Henan Provincial People′s Hospital),Zhengzhou,Henan Province 450002,China
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- 关键词:
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【关键词】一站式救治平台; 急性缺血性脑卒中机械开通
- 文献标志码:
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A
- 摘要:
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【摘要】目的探讨一站式卒中救治平台对急性前循环大动脉闭塞机械开通治疗的作用。方法收集郑州大学人民医院在2018年8月至2020年12月发病在8 h内的颈内动脉末端及大脑中动脉M1段急性闭塞患者的临床及影像学资料。所有患者均行机械开通治疗。59例患者在一站式卒中救治平台治疗,41例患者在常规手术室治疗。分析2组的基线情况、入院到成像时间、成像到股动脉穿刺时间、入院到股动脉穿刺时间、手术时间、围手术期并发症及90 d良好预后的差异。结果常规组术前NHISS评分为16.0(14.0,20.0)分,高于一站式组的14.0(11.0,16.5)分,差异有统计学意义(P=0.003)。2组患者基线资料、围手术期并发症及90 d良好预后比较,差异均无统计学意义(均P>0.05)。一站式组入院到成像检查中位时间为15.0(12.0,19.0) min,常规组为29.0(24.0,42.0) min;一站式组成像检查到股动脉穿刺中位时间为49.0(36.0,60.0) min,常规组为63.0(48.0,85.0) min;一站式组入院到股动脉穿刺中位时间为66.0(50.0,82.0) min,常规组为99.0(78.0,134.5) min;一站式组入院到再灌注中位时间为138.0(94.7,161.2) min,常规组为161.0(122.5,208.0) min,差异均有统计学意义(均P<0.001)。一站式组血管内开通成功率为91.5%,高于常规组的70.7%(χ2=7.413,P=0.013)。结论一站式卒中救治平台在急性前循环闭塞开通的治疗中可明显缩短入院到股动脉穿刺时间,提高血管内治疗的开通率。
参考文献/References:
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[11]李强,周腾飞,贺迎坤,等.院内急性缺血性脑卒中急诊闭塞开通救治延误原因分析[J].介入放射学杂志,2022,31:9-13.
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备注/Memo
- 备注/Memo:
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(收稿日期:2024-08-22)
(本文编辑:新宇)
更新日期/Last Update:
2025-03-25