脑血管储备能力与进展性脑梗死相关性研究  

Progress in cerebrovascular reserve capacity and the correlation with cerebral infarction

作　　者：霍长禄[1] 王文明[2] 张英瑞[3] 盛玉国[2] 李乃选[2] 鹿树军[2] 

机构地区：[1]滨州医学院,山东256603 [2]滨州医学院附属医院介入医学科 [3]聊城市人民医院神经内科监护室,252000

出　　处：《当代医学》2011年第5期13-14,共2页Contemporary Medicine

摘　　要：目的通过一个前瞻性的临床实验来研究脑血管储备能力与进展性脑梗死的相关性。方法早期脑梗死入院病人24小时以内运用彩色经颅多普勒(Transcranial Doppler,TCD)完成脑血管储备能力的测定,然后根据病人是否进展分为进展组与非进展组。运用T检验比较进展性脑梗死与非进展性脑梗死脑血管储备能力的差异,运用相关分析来分析脑血储备能力与进展性脑梗死的相关性。结果进展组病人与非进展组病人的脑血管储备能力有统计学差异(t=10.176,P<0.001),脑血管储备能力与进展性脑梗死存在负相关关系(r=-0.805,P<0.001)。结论脑血管储备能力下降是进展性脑梗死发生的独立危险因素之一。Objective To investigate the correlation between cerebrovascular reserve capacity and progressive cerebral infarction through a perspective clinical study. Method In patients with acute cerebral infarction cerebrovascular reserve capacity was obtained within 24 hours, then they were divided into progressive group and non-progressive group. T-test was used to analyze the differences in cerebrovascular reserve capacity between these two groups, and Spearman＇s rho was used to analyze the correlation between cerebrovascular reserve capacity and progressive cerebral infarction. Result The cerebrovascular reserve capacity had significant difference in the two groups（t =10.176, P〈0.001）. The cerebrovascular reserve capacity had negative correlation with the progressive cerebral infarction（r =-0.805, P〈0.001）. Conclusion The descent of the cerebrovascular reserve capacity is an independent risk factor of the progressive cerebral infarction.

关 键 词：脑血管储备能力 进展性脑梗死 彩色经颅多普勒 

分 类 号：R743.3[医药卫生—神经病学与精神病学]