脑电图联合脑CT灌注成像评价蛛网膜下腔出血预后临床研究.docVIP

脑电图联合脑CT灌注成像评价蛛网膜下腔出血预后临床研究 　　摘要：目的 探讨脑电图联合脑CT灌注成像对蛛网膜下腔出血（SAH）预后的影响。方法 选取2015年12月～2016年12月收入医院的SAH患者共30例作为研究对象，将其平均分为两组，对照组和实验组。实验组在脑CT灌注成像时联合应用脑电图（EEG）对SAH患者进行检测，对照组应用脑CT灌注成像。观察并记录MTT、TTP、CBF、CBV、痫样发作例数和脑血管痉挛（CVS）例数。结果 CVS组MTT和TTP均高于nCVS组，CBF和CBV组均低于nCVS组，差异有统计学意义（P0.05）。实验组痫样发作例数和脑血管痉挛例数均高于对照组，差异有统计学意义（P0.05）。结论 脑电图联合脑CT灌注成像对蛛网膜下腔出血（SAH）预后具有积极的作用。 　　关键词： CTP；脑电图；蛛网膜下腔出血 　　中图分类号：R743.35 文献标识码：A 文章编号：1006-1959（2017）16-0041-03 　　Clinical Evaluation of Electroencephalogram Combined with Brain CT Perfusion Imaging in the Prognosis of Subarachnoid Hemorrhage 　　WANG Qi-min，WANG Ye-zhong，LIU Qi，JI Yun-xiang，DAI Lin-zhi，DONG Jiang-tao，ZHAO Dong 　　（Department of Neurosurgery，First Affiliated Hospital of Medical College of Shihezi University，Shihezi 832000，Xinjiang，China） 　　Abstract：Objective To investigate the EEG combined cerebral CT perfusion imaging on subarachnoid hemorrhage（SAH）prognosis.Methods From December 2015 to December 2016 the hospital income of 30 cases of SAH patients as the research object，will be divided into two groups，control group and experimental group.In the experimental group，SAH was detected by electroencephalogram（EEG）in brain CT perfusion imaging，and brain CT perfusion imaging was used in the control group.Observe and record the MTT，TTP，CBF，CBV，the number of cases of epileptic seizures and cerebral vasospasm（CVS）cases.Results In group CVS，MTT and TTP were higher than nCVS group，CBF group and CBV group were lower than those of nCVS group，the difference was statistically significant（P0.05）.The experimental group and the number of cases of epileptic seizure cerebral vasospasm cases were higher than the control group，the difference was statistically significant（P0.05）.Conclusion EEG combined with cerebral CT perfusion imaging on subarachnoid hemorrhage（SAH）prognosis has a positive effect. 　　Key words：CTP；Electroencephalogram；Subarachnoid hemorrhage 　　蛛?W膜下腔出血（SAH）是临床常见脑血管疾病，在脑血管病中的发病率仅次于脑梗塞、脑出血而居第三位，5%的脑卒中的病因是蛛网膜下腔出血。自发性蛛网膜下腔出血的主要病因为先天性脑动脉瘤、