侧支循环代偿对缺血性脑血管病患者预后的影响-神经病学专业论文.docxVIP

万方数据 万方数据 Collateral circulation compensatory effect on the prognosis of ischemic cerebrovascular disease Major: Neurology Postgraduate: Liu Yuan Liang Supervisor: Mao Shi Xian Wu Guo Feng [Abstract] Objective: To the ischemic cerebrovascular disease cerebral angiography to check，Study of cerebral artery collateral circulation open situation when more than moderate stenosis or occlusion relationship with the clinical prognosis of patients，For the choice of treatment, prognosis judgement and effective prevention to provide reliable basis. Methods: In January of 2012 to 2014 were retrospectively analyzed in guiyang medical college affiliated hospital during January and guiyang medical college affiliated baiyun branch hospital treatment of ischemic cerebrovascular disease，All the patients clinical data were collected, Skull CT after admission to hospital, head MRI + DWI + MRA and DSA can check, Screening of cerebral artery stenosis degree according to the results of the DSA examination in more than 70% of the patients as the research object, Will be divided into two groups, one group of 90 cases of ischemic cerebrovascular disease, 60 cases of acute cerebral infarction group. Analysis of cerebral arteries above moderate stenosis or occlusion, collateral blood flow and perfusion of the brain, explore the stand or fall of collateral circulation and open to the prognosis of patients with recurrence and 1 year after stroke.Results: 1. In the ischemic cerebrovascular disease group, according to the results of three groups of the recurrence rate was not exactly the same (P 0.05); Is not identical recurrence compared with the control group (P 0.05). Pairwise comparison results showed that collateral compensatory of good and bad in the two groups compared with the control group there were significant differences (P 0.05); Collateral compensatory medium there was no significant difference compared with control group (P 0.05). 2.In acute cerebral infarction group, ac