颈内动脉重度狭窄或闭塞患者侧支循环与临床表现轻重的关系  

Relationship Between Collateral Circulation and Clinical Manifestation in Patients With Severe Stenosis or Occlusion of Internal Carotid Artery

作　　者：鲁艺花[1] LU Yihua(Neurology Department,Yanbian Second People＇s Hospital,Yanji Jilin 133000,China)

机构地区：[1]延边第二人民医院神经内科,吉林延吉133000

出　　处：《中国继续医学教育》2018年第28期91-93,共3页China Continuing Medical Education

摘　　要：目的研究颈内动脉重度狭窄或闭塞患者侧支循环代偿与临床表现的关系。方法选择在我院住院治疗的颈内动脉重度狭窄或闭塞患者59例作为研究对象,将其分为侧支循环良好组(26例)和侧支循环不良组(33例)。通过TCD观察Willis环及其他侧支循环代偿情况,通过NIHSS评分判断临床表现轻重。分析侧支循环与临床表现轻重的关系。结果侧支代偿良好组NIHSS评分为(1.808±0.166)分;侧支代偿不良组NIHSS评分为(6.000±0.337)分,两组评分比较,差异具有统计学意义(P <0.05)。结论颈内动脉重度狭窄或闭塞患者的临床表现轻重与侧支代偿情况有关。Objective To study the relationship between collateral circulation compensation and clinical manifestation in patients with severe stenosis or occlusion of internal carotid artery. Methods 59 patients with severe stenosis or occlusion of internal carotid artery in our hospital were selected as the subjects. They were divided into good collateral circulation group （26 cases） and poor collateral circulation group （33 cases）. The compensatory status of Willis ring and other collateral circulation was observed by TCD. The clinical performance was judged by NIHSS score. The relationship between collateral circulation and clinical manifestation was analyzed. Results The NIHSS score of the collateral compensatory group was （1.808±0.166） points. The NIHSS score of the collateral compensatory group was （6.000±0.337） points. The difference between the two groups was statistically signifcant （P 〈 0.05）. Conclusion The severity of internal carotid artery stenosis or occlusion is related to collateral compensation.

关 键 词：颈内动脉狭窄 颈内动脉闭塞 侧支循环 TCD WILLIS环 NIHSS评分 

分 类 号：R743[医药卫生—神经病学与精神病学]