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ID:34141802
大小:8.44 MB
页数:41页
时间:2019-03-04
《颈内动脉狭窄或闭塞缺血性脑卒中患者侧支循环与临床症状的关系》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、颈内动脉狭窄或闭塞缺血性脑卒中患者侧支循环与临床症状的关系摘要目的:探讨颈内动脉重度狭窄或闭塞的缺血性脑卒中患者其侧支循环与临床症状的关系。方法:对110例单侧颈内动脉(ICA)重度狭窄或闭塞的急性缺血性脑卒中患者,行经颅多普勒(transcranialdopplerultrasonography,TCD)检查,了解侧支循环开放情况。根据TCD检测到的前交通动脉(ACOA)、后交通动脉(PCOA)、眼动脉(0A)的代偿情况,将患者分为单纯ACOA开放组、单纯PCOA开放组、单纯0A开放组、ACOA合并PCOA开放组及无侧支循环开放
2、组5组,比较各组入院时和住院2周时美国国立卫生研究院卒中量表(NIHSS)评分,以及入院时矛1:16个月时改良Rankin评分(mRS)。结果:(1)110例患者中ACOA开放47例,占全部患者的43%。PCOA开放38例,占35%;OA开放28例,占25%。(2)无侧支循环开放组治疗前后NIHSS评分、mRS评分无明显差异(P>0.05)。(3)治疗2周时,ACOA开放组、PCOA开放组、ACOA合并PCOA开放组NIHSS评分较0A开放组、无侧支循环代偿组明显降低(P<0.05)。(3)ACOA合并PCOA开放组NIHSS评分
3、明显低于单纯ACOA组,差异有统计学意义(P<0.05)。(4)6个月随访时ACOA开放组、PCOA开放组、ACOA合并PCOA开放组mRS评分明显低于0A开放组和无侧支循环代偿组(P4、llateralcirculationoncerebralischemicstrokeinpatientswithsevereinternalcarotidarterystenosisorocclusionAbstractObjective:Toexploretherelationshipbetweenthestatusofcollateralcirculationandcerebralischemicstrokeinpatientswithsevereinternalcarotidarterystenosisorocclusio5、n.Methods:TCDwasappliedtoevaluatethecollateralcirculationon10patientsofcerebralischemicstrokewithsevereinternalcarotidarterystenosisorocclusion.Patientsweredividedinto5groups:ACOAgroup,PCOAgroup,OAgroup,combinedACOAandPCOAgroup,andnon—collateralcompensationgroup.TheNa6、tionalInstitutesofHealthStrokeScale(NIHSS)scorewasusedbothatadmisscionandtwoweekslater。TheModifiedRankinscore(mRS)wasusedatadmisscionandsixmonthslater.Results:(1)TCDshowedcollateralpatencyofanteriorarterycommunicatingwas43%,posteriorcommunicatingarterywas35%,andophtha7、lmicarterywas25%.(2)ThescoresofNIHSSandmRSwerenosignificantdifferenceinnon—collateralcompensationgroupbeforeandaftertreatment(P>0.05).(3)TheNIHSSscoreattwoweeksandmRSscore6months1aterwere10werincombinedACOAandPCOAgroup,ACOAgroupandPCOAgroupSignificantlythaninOAgroupan8、dnon—collateralcompensationgroup(p<0.05).(4)TheNIHSSscorewaslowerincombinedACOAandPCOAgroupthaninACOAgroup.Conclusion:Inpati
4、llateralcirculationoncerebralischemicstrokeinpatientswithsevereinternalcarotidarterystenosisorocclusionAbstractObjective:Toexploretherelationshipbetweenthestatusofcollateralcirculationandcerebralischemicstrokeinpatientswithsevereinternalcarotidarterystenosisorocclusio
5、n.Methods:TCDwasappliedtoevaluatethecollateralcirculationon10patientsofcerebralischemicstrokewithsevereinternalcarotidarterystenosisorocclusion.Patientsweredividedinto5groups:ACOAgroup,PCOAgroup,OAgroup,combinedACOAandPCOAgroup,andnon—collateralcompensationgroup.TheNa
6、tionalInstitutesofHealthStrokeScale(NIHSS)scorewasusedbothatadmisscionandtwoweekslater。TheModifiedRankinscore(mRS)wasusedatadmisscionandsixmonthslater.Results:(1)TCDshowedcollateralpatencyofanteriorarterycommunicatingwas43%,posteriorcommunicatingarterywas35%,andophtha
7、lmicarterywas25%.(2)ThescoresofNIHSSandmRSwerenosignificantdifferenceinnon—collateralcompensationgroupbeforeandaftertreatment(P>0.05).(3)TheNIHSSscoreattwoweeksandmRSscore6months1aterwere10werincombinedACOAandPCOAgroup,ACOAgroupandPCOAgroupSignificantlythaninOAgroupan
8、dnon—collateralcompensationgroup(p<0.05).(4)TheNIHSSscorewaslowerincombinedACOAandPCOAgroupthaninACOAgroup.Conclusion:Inpati
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