TCD在缺血性脑卒中患者诊断及评估预后中的作用的研究.docVIP

精品论文 参考文献 TCD在缺血性脑卒中患者诊断及评估预后中的作用的研究 刘祖佑 祁风 韦朝霞 余科 　　(广州医学院荔湾医院神经内科 510170) 　　【摘要】目的 探讨经颅多普勒（TCD）检测在缺血性脑卒中患者的诊断及评估预后中的作用。方法 55例缺血性脑卒中患者，根据大脑中动脉（MCA）有无狭窄及闭塞，分为MCA有狭窄及闭塞组（40例）和MCA无狭窄及闭塞组（15例）。入院时对两组病人进行临床神经功能缺损NIHSS评分，分析两组神经功能缺损评分差异。6个月后进行随访，比较两组的复发率；并进行巴塞尔指数（Barthel Index，BI）评估，分析两组病人预后的差别。结果 入院时，MCA有狭窄及闭塞组NIHSS评分明显高于MCA无狭窄及闭塞组(Plt;0.05)； 6个月后MCA有狭窄及闭塞组的日常生活能力差于MCA无狭窄及闭塞组(Plt;0.05)，且复发率高于后者(Plt;0.05)。结论 TCD可用于缺血性脑卒中患者的诊断及评估预后，并可预示再发缺血性卒中的危险性。 　　【关键词】缺血性卒中 大脑中动脉 经颅多普勒超声 　　【中图分类号】R543 【文献标识码】A 【文章编号】2095-1752（2014）13-0081-03 　　Study on the role of TCD in the diagnosis and evaluation of prognosis in patients with ischemic stroke LIU Zu-you, QI Feng, YU Ke,et al .（Department of Neurology ,Liwan Hospital of Guangzhou Medical College, Guangzhou 510170,China） 　　【Abstract】 Abjective：To investigate the effect of transcranial Doppler (TCD) detection in the diagnosis and evaluation of prognosis in patients with ischemic stroke. Methods：Totally, 55 patients with ischemic stroke, according to the presence or absence of middle cerebral artery （MCA） stenosis and occlusion were divided into MCA stenosis and occlusion group (40 cases) and MCA without stenosis and occlusion group (15 cases). At admission,the clinical neural function defect score of NIHSS of two groups of patients was assessed ,with the difference.of nerve function defect score of two groups analysed. Followed up after 6 months, the difference of .the recurrence rate and Barthel Index score of two groups was analysed. Results：On admission, NIHSS score of the group with MCA stenosis and occlusion was significantly higher than that of the group without MCA stenosis and occlusion (Plt;0.05); The daily life ability of the group with MCA stenosis and occlusion was poorer than that of the group without MCA stenosis and occlusion after 6 months (Plt;0.05), and the recurrence rate was higher than the latter (Plt;0.05).Conclusion：TCD is availa