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目的观察区域性动脉溶栓结合静脉溶栓治疗脑梗死疗效,分析其时效。方法对发病6h内脑梗死患者分为治疗组及对照组,各25例患者,治疗组溶栓时间窗<1h;对照组溶栓时间窗1～6h,均采用介入途径下动脉溶栓及联合静脉溶栓治疗。结果治疗组疗效高于对照组(P<0.05),治疗组脑出血1例,对照组脑出血2例。结论区域性动静脉联合溶栓治疗脑梗死是有效可行的,时间窗长短与脑梗死疗效正相关。
Objective To observe the curative effect of regional arterial thrombolysis combined with intravenous thrombolytic therapy for cerebral infarction and analyze its aging. Methods The patients with intracerebral infarction within 6 hours after onset were divided into treatment group and control group, with 25 patients in each group. The time window of thrombolysis in the treatment group was less than 1 hour. In the control group, the time window of thrombolysis was 1 to 6 hours, Intravenous thrombolysis. Results The curative effect of treatment group was higher than that of control group (P <0.05). One case of intracerebral hemorrhage and two cases of cerebral hemorrhage of control group were treated in the treatment group. Conclusion regional arteriovenous thrombolytic therapy of cerebral infarction is effective and feasible, the length of time window is positively correlated with the curative effect of cerebral infarction.