侧支循环代偿方式对中动脉区脑梗死神经功能缺损的影响  

Effect of Collateral Compensatory Pattern on Nerve Function Defect of Cerebral Infarction in Middle Artery Area

作　　者：郭冉[1] GUO Ran(Department of Neurology, Zibo Central Hospital, Zibo Shandong 255000, China)

机构地区：[1]淄博市中心医院神经内科,山东淄博255000

出　　处：《中国卫生标准管理》2018年第18期53-55,共3页China Health Standard Management

摘　　要：目的研究分析侧支循环代偿方式对大脑中动脉区脑梗死患者神经功能缺损的影响。方法本次病例筛选2016年5月—2017年12月收治的大脑中动脉区梗死的患者59例为本次研究对象,按照侧支循环代偿方式的不同分成三组,ACA组、PCA组、ACA+PCA组,比较三组侧支循环分级情况以及发病时、发病后半年神经功能缺损评分。结果三组侧支循环分级情况比较差异有统计学意义,P<0.05。三组发病时、发病后半年,ACA+PCA组MRS评分较其他两组低,组间比较差异有统计学意义(P<0.05)。结论大脑中动脉区脑梗死患者侧支循环代偿方式不同对患者神经功能缺损有不同的影响,临床对患者侧支循环代偿方式的检查对患者的预后评估有积极的意义。Objective To study the effect of collateral compensation on neurological impairment in patients with middle cerebral artery infarction. Methods 59 patients with middle cerebral artery infarction admitted from May 2016 to December 2017 were selected and divided into three groups according to the compensatory patterns of collateral circulation. The grade of collateral circulation and the neurological deficit score half a year after the onset of the disease in the three groups was compared. Results There was a significant difference in the grade of collateral circulation among the three groups（P〈0.05）. The MRS score of ACA ＋ PCA group was significantly lower than that in the other two groups after the onset of the disease and half an year after（P〈0.05）. Conclusion The collateral circulation compensation mode of the cerebral middle cerebral artery region has different effects on the nerve function defect of the patient. The clinical examination of the compensatory mode of collateral circulation in the patients has a positive significance for the prognosis evaluation of the patients.

关 键 词：侧支循环 代偿方式 大脑中动脉区 脑梗死 神经功能缺损 影响 

分 类 号：R651[医药卫生—外科学]