进展性卒中与微栓子、脑血流动力学检测的相关性研究  

The study on stroke in progression and detecting mcroembolic signals,cerebrovascular hemodynamic

作　　者：曾庆宏[1] 庄爱霞[1] 孙德锦[1] 姜建东[1] 冯寿琴[2] 

机构地区：[1]连云港市第二人民医院东院区神经内科,江苏222006 [2]连云港市第二人民医院东院区神经电生理科,江苏222006

出　　处：《脑与神经疾病杂志》2012年第5期342-345,共4页Journal of Brain and Nervous Diseases

摘　　要：目的探讨进展性卒中与微栓子、脑血流动力学之间的关系。方法 240例急性脑梗死患者,进展组116例,对照组124例。应用经颅多普勒(TCD)检测两组患者入院时的脑血流,并检测入院时,入院后第1、3、7天的微栓子阳性率及数量,所有数据进行统计学分析。结果进展性卒中患者的脑血流异常率与对照组比较有统计学意义(P<0.01);进展性卒中患者入院时微栓子阳性率及数量均高于对照组(P<0.01)。结论对急性缺血性卒中患者进行微栓子、脑血流动力学检测可以预测缺血性卒中的进展。Objective To investigate the relationship between stroke in progression and microemboli monitoring,cerebrovascular hemodynamic.Methods The study included 240 patients in acute cerebral infarctions.Among of them,116 patients were divided into progression group and the other 124 patients were control group.All the patients were detected blood flow rate when they were in hospital using TCD.The frequency and the number of microemboli were also detected after 0,1,3,7 day.Results It was significant in cerebrovascular hemodynamic of the patients in the progression group than that of control group（P0.01）.The frequency and the number of microemboli of the patients in progression group were higher than those of the control group（P0.01）when they were in hospital.Conclusion Detecting mcroembolic signals and cerebrovascular hemodynamic of the patients in acute cerebral infarctions by TCD can forecast progression of stroke.

关 键 词：进展性卒中 微栓子检测 脑血流动力学 

分 类 号：R741.02[医药卫生—神经病学与精神病学]