Early and late interventional embolization can improve neurological function, mental state and living ability of patients with intracranial aneurysm
10.3760/cma.j.cn341190-20201231-02113
- VernacularTitle:早期、晚期介入栓塞术用于颅内动脉瘤患者改善神经功能、精神状态、生活能力的价值研究
- Author:
Yangkai ZHAO
1
;
Bangxuan ZHU
;
Yili XIANG
;
Mingliang WU
;
Shouyi WANG
Author Information
1. 浙江中医药大学研究生院,杭州 310000
- Keywords:
Intracranial aneurysm;
Intracranial embolism;
Mental status schedule;
Quality of life;
Matrix metalloproteinase 9;
Cell adhesion molecules;
Prognosis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(9):1320-1324
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of early and late interventional embolization in intracranial aneurysms.Methods:Eighty-two patients with intracranial aneurysm who received treatment in Wenzhou People's Hospital from October 2015 to February 2020 were included in this study. These patients were divided into early (≤ 3 days) and late (> 3 days) groups, with 41 patients in each group, according to time from disease onset to surgery. The early group was subjected to early interventional embolization, and the late group was treated with late interventional embolization. The effects of embolization and National Institutes of Health Stroke Scale score pre- and post-treatment, as well as modified Barthel index, Mini-Mental State Exam score, matrix metalloproteinase-9 level, and soluble intercellular adhesion molecule-1 level post-treatment and prognosis were compared between the two groups.Results:The embolization effects in the early group were statistically superior to those in the late group ( P = 0.046). After treatment, National Institutes of Health Stroke Scale score in the early group was significantly lower than that in the late group [(4.02 ± 1.64) points vs. (6.81 ± 2.02) points, t = 6.86, P < 0.01]. Mini-Mental State Exam score and modified Barthel index in the early group were (28.09 ± 1.35) points and (81.12 ± 9.67) points, respectively, which were significantly higher than (26.01 ± 1.19) points and (73.02 ± 8.19) points in the late group ( t = 7.40, 4.09, both P < 0.001). After treatment, matrix metalloproteinase-9 and soluble intercellular adhesion molecule-1 levels in the early group were (420.33 ± 29.40) μg/L and (403.70 ± 23.28) ug/L, respectively, which were significantly lower than (491.30 ± 31.19) μg/mL and (496.37 ± 30.46) μg/L in the late group ( t = 10.60, 15.47, both P < 0.001). Prognosis in the early group was superior to that in the late group ( P = 0.049). Conclusion:Early interventional embolization has better efficacy than late interventional embolization in the treatment of intracranial aneurysm. The former can effectively improve neurological function and mental state, enhance living ability, and improve prognosis, which may be related to the regulation of matrix metalloproteinase-9 and soluble intercellular adhesion molecule-1 levels.
