机械取栓治疗 PCIS 患者预后的影响因素

魏 丹 ^①

(濮阳市安阳地区医院,河南 安阳 455000)

摘要 目的:分析机械取栓治疗后循环缺血性脑卒中(PCIS)患者预后的影响因素。 方法:选取 89 例 PCIS 患者作为研究对象,术后 3 个月时采用改良 Rankin 量表(mRS)评估患者预后情况,分析机械取栓治疗 PCIS 患者预后的影响因素。 结果:随访 3 个月,所有的患者均进行了随访,预后良好者54 例,预后不良者 35 例,预后良好率为 60.67%;发病到入院时间、入院时 pc-ASPECTS、术前 NIHSS评分、取栓次数是机械取栓患者预后的独立因素(P<0.05);经 Logisitic 回归模型分析结果显示,发病到入院时间≥5.69 h、入院时 pc-ASPECTS≤5.60 分、术前 NIHSS 评分≥12.44 分、取栓次数>2 次为机械取栓患者预后的独立危险因素(P<0.05)。 结论:机械取栓治疗 PCIS 患者预后受发病到入院时间、入院时 pc-ASPECTS、术前 NIHSS 评分、取栓次数等独立因素影响,其中发病到入院时间≥5.69 h、入院时 pc-ASPECTS≤5.60 分、术前 NIHSS 评分≥12.44 分、取栓次数>2 次为影响预后的独立危险因素。

关键词: 后循环缺血性脑卒中;机械取栓;危险因素

中图分类号:R743.3 文献标志码:A 文章编号:1008-2409(2022)03-0028-04

Factors influencing the prognosis of patients with PCIS treated by mechanical thrombectomy

WEI Dan ^① .(Anyang District Hospital of puyang, Anyang 455000, China)

Abstract Objective: To analyze the prognostic factors of patients with posterior circulation ischemic stroke(PCIS) treated by mechanical thrombectomy. Methods: A total of 89 patients with PCIS were selected as the study subjects, and the improved Rankin scale(mRS)was used to evaluate the prognosis and analyze the factors influencing the prognosis of patients treated with mechanical thrombectomy 3 months after surgery. Results: All the patients underwent follow-up for 3 months, there were 54 cases with good prognosis and 35 cases with bad prognosis, and the good prognosis rate was 60.67%; the time from onset to admission, pc-ASPECTS at admission, preoperative NIHSS scores and the number of thrombectomy were the independent factors for the prognosis of patients with mechanical throm bectomy(P<0.05); Logisitic regression model analysis showed that the time from onset to admission ≥5.69 h,PC-Aspects ≤5.60 scores at admission, NIHSS score ≥12.44 scores before surgery, and the number of thrombectomy>2 were the independent prognostic risk factors for PCIS patients after mechanical thrombectomy(P<0.05). Conclusion: The prognosis of patients with PCIS treated with mechanical thrombectomy was influenced by independent factors such as the time from onset to admission, pc-ASPECTS at admission, preoperative NIHSS score, and the number of thrombectomy, and other factors,among which, the time from onset to admission ≥5.69 h, PC-ASPECTS ≤5.60 scores at admission, preoperative NIHSS score ≥12.44 scores, and number of thrombus removal> 2 were independent risk factors of prognosis.

Keywords: posterior circulation ischemic stroke; mechanical thrombectomy; risk factors

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