经颅多普勒预测颅内大动脉狭窄与多血管事件关系研究  

Study on transcranial Doppler ultrasound predicting relation of intracranial arterial stenosis and further vascular events

作　　者：李庆[1] 寇卫红[1] 刘悦[1] 郑丽[2] 

机构地区：[1]石家庄市中医院功能科,河北石家庄050051 [2]石家庄市中医院病案室,河北石家庄050051

出　　处：《中国医学影像技术》2008年第S1期52-54,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的我们研究是否多血管事件能够帮助预测颅内大动脉狭窄的发生。方法用经颅多普勒,检测了131例住院患者的颅内大动脉血流速度,确定了每个病例狭窄动脉数量,并记录了多血管事件的发生情况。结果在131例中,66例无狭窄,65例至少有一支动脉狭窄。Logistic回归分析显示,预测短暂性脑缺血发作或脑中风的危险因素是舒张压的升高(OR=2.38,95%CI1.27到4.45,P=0.01)、存在大动脉狭窄(OR=2.15,95%CI0.96到4.84,P=0.06)和NIHSS得分≥2(OR=18.83,95%CI4.06到87.28,P=0.001)。预测颅内大动脉狭窄的危险因素是有无糖尿病(OR=2.78,95%CI1.20到6.46,P=0.02)和有无冠心病(OR=2.63,95%CI1.13到6.15,P=0.03)。结论患有糖尿病和冠心病的病人颅内大动脉狭窄的风险性显著增加。舒张压升高和有颅内大动脉狭窄的患者易患短暂性脑缺血发作或脑中风。经颅多普勒是一种重要的研究颅内动脉粥样硬化病人颅内大动脉狭窄的方法。Objective We investigate whether further vascular events can help predict forms of intracranial large-artery stenosis.Methods Using transcranial Doppler,we measured blood velocity of intracranial large-artery in 131 patients who were hospitalized,we determined the number of stenosis artery and recorded baseline characteristics of further vascular events in consecutive patients.Results Among 131 consecutive patients,no stenosis arteries were found in 66 patients,65 patients had at least 1 stenosis artery.Log...

关 键 词：颅内动脉狭窄 脑血管意外 超声检查 多普勒 

分 类 号：R543[医药卫生—心血管疾病]