大脑中动脉急性脑梗死的经颅多普勒的血流动力学分型与预后

被引：24

作者：

包红辉 ^{[1
]}

刘宁 ^{[2
]}

陈军 ^{[2
]}

鲁雅琴 ^{[2
]}

王丽叶 ^{[2
]}

孟海莲 ^{[2
]}

谷有全 ^{[2
]}

杨奎 ^{[2
]}

王颖 ^{[2
]}

机构：

[1] 兰州大学第一临床医学院

[2] 兰州大学第一医院神经内科

来源：

中华老年心脑血管病杂志 | 2015年 / 17卷 / 02期

关键词：

梗死,大脑中动脉; 超声检查,多普勒,经颅; 血流动力学; 预后;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

1002 ;

摘要：

目的探讨大脑中动脉急性脑梗死未溶栓患者经颅多普勒超声(TCD)的血流动力学分型与预后及其对近期神经功能恢复的影响。方法纳入大脑中动脉急性脑梗死患者52例,于入院24h内行TCD检查。将患者分为完全闭塞组6例(TIBI 0～1级),部分闭塞组16例(TIBI 2～3级)及非闭塞组30例(TIBI 4～5级)。于入院30min内、发病后第7、14天分别行美国国立卫生研究院卒中量表评分,于发病后3个月行改良Rankin量表评分评定神经功能恢复。结果完全闭塞组与非闭塞组第7、14天神经功能缺损评分比较,差异有统计学意义[(5.83±2.23)分vs(3.03±2.53)分,(4.83±2.32)分vs(1.90±2.28)分,P<0.05]。闭塞组与非闭塞组近期神经功能恢复比较,差异有统计学意义(40.9%vs 83.3%,P=0.001)。结论脑梗死非溶栓急性期患者采用TCD对病灶血流动力学的分型,可预测完全闭塞较非闭塞患者神经缺损程度明显,指导临床治疗及预后评估。

引用

页码：174 / 177

页数：4

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