罗尔敏 朱飞 易飞

    [摘要]?目的?探討颅内血管重度狭窄及闭塞患者多学科诊疗(multi-disciplinary?treatment，MDT)与基础药物治疗的临床效果。方法?选取2019年1月至2021年7月于萍乡市人民医院治疗的80例颅内血管重度狭窄及闭塞患者，按随机数字表法分为对照组和观察组，每组各40例。对照组采用基础药物治疗，观察组在对照组基础上采用MDT评估后血管内介入治疗。比较观察组治疗前后病变动脉狭窄程度及两组的预后、卒中复发率及不良反应。结果?治疗后90d观察组的病变动脉狭窄程度为(13.98±2.11)%，低于治疗前的(81.98±5.02)%，差异有统计学意义(P0.05)。结论?MDT介入治疗颅内血管重度狭窄及闭塞可扩张狭窄血管，降低病变动脉狭窄程度，改善患者预后，且卒中复发率低，临床应用安全性高。

    [关键词]?颅内动脉重度狭窄及闭塞；多学科诊疗；血管内介入治疗；药物治疗；动脉狭窄程度

    [中图分类号]?R743?[文献标识码]?A?[DOI]?10.3969/j.issn.1673-9701.2023.24.006

    Clinical?comparison?of?MDT?interventional?therapy?and?basic?drug?therapy?in?patients?with?severe?intracranial?stenosis?and?occlusion

    LUO?Ermin，?ZHU?Fei，?YI?Fei

    Department?of?Neurology，?Pingxiang?peoples?Hospital，?Pingxiang?337000，?Jiangxi，?China

    [Abstract]?Objective?To?explore?the?clinical?efficacy?of?multi-disciplinary?treatment?(MDT)?intervention?therapy?and?basic?drug?therapy?in?patients?with?severe?intracranial?vascular?stenosis?and?occlusion.?Methods?Totally?80?patients?with?severe?intracranial?vascular?stenosis?and?occlusion?who?were?treated?in?Pingxiang?Peoples?Hospital?from?January?2019?to?July?2021?were?selected?and?divided?into?control?group?and?observation?group?according?to?random?number?table ......