脑循环治疗对脑梗死患者脑电变化与脑血流分析和日常生活活动能力影响  

Effect of cerebral circulation therapy on EEG and cerebral blood flow in patients with cerebral infarction

作　　者：李小六 赵静[2] 毕霞 杜国君 吉洁[1] Li Xiaoliu;Zhao Jing;Bi Xia;Du Guojun;Ji Jie(epartment of Rehabilitation,Minghang Hospital Affiliated to Fudan University,Shanghai,201199,P.R.China;Department of Neurology,Minghang Hospital Affiliated to Fudan University,Shanghai,201199,P.R.China;Zhoupu Hospital Affiliated to Shanghai College of Medicine&Health Sciences,Shanghai,201318,P.R.China.)

机构地区：[1]复旦大学附属闵行医院康复医学科,上海201199 [2]复旦大学附属闵行医院神经内科,上海201199 [3]上海健康学院附属周浦医院,上海201318

出　　处：《老年医学与保健》2020年第4期652-654,共3页Geriatrics & Health Care

基　　金：上海市卫生健康委员会(201940031)。

摘　　要：目的观察脑循环治疗对脑梗死患者脑电、脑血流动力学和日常生活活动能力的影响。方法选择2018年11月—2020年2月在复旦大学附属闵行医院神经内科住院的80例脑梗死患者用随机数字法分为对照组和观察组,每组各40例。对照组采用神经内科常规治疗;观察组在常规治疗基础上加用进行脑循环治疗仪连续治疗15 d,进行脑循环治疗仪连续治疗15 d,后经颅多普勒超声(TCD)观察脑血管动力学及脑电地形图(BEAM)变化,并通过ADL评价患者功能改变情况。后经颅多普勒超声(TCD)观察脑血管动力学变化、脑电地形图(BEAM)观察脑功能变化指标、日常生活活动能力(ADL)评价治疗效果,2组采取同样的治疗方法,观察组在对照组治疗基础上增加脑循环治疗仪治疗。结果治疗前2组TCD和BEAM、ADL评分比较,差异无统计学意义(P>0.05);治疗后对照组和观察组TCD(21.0±7.2)vs(27.0±5.9)、BEAM(171±48)vs(202±47)和ADL(78.90±5.98)vs(87.12±5.92)评分比较,差异具有统计学意义(P<0.05)。结论脑循环治疗仪能有效增加梗死后脑血流量,增强脑功能活动,促进患者早期康复。Objective To observe the effect of cerebral circulation therapy on cerebral hemodynamics,brain function and activities of daily living of patients with cerebral infarction.Methods 80 patients with cerebral infarction who were treated in the inpatient and rehabilitation clinics of our hospital fromNovember 2018 to February 2020were randomly divided into control group and observation group,40 cases in each group.The control groupwere treatedwith conventionalmedicine and rehabilitation treatment,and the observation groupwas treatedwith cerebral circulation therapy instrument on the basis of the same conventional treatment as the control group.Transcranial Doppler ultrasound(TCD)was used to observe the changes of cerebral vascular dynamics,electroencephalogram topography(BEAM)was used to observe changes of brain function indicators,and the Ability ofDaily Living(ADL)was used to evaluate the treatment effect.The differences between the two groupswere compared.Results Before the treatment,there was no significant difference in ADL score,hemodynamics and cerebral topographic map between the two groups(P>0.05).After the treatment,he cerebral blood flowvelocity and cerebral blood flow of the observation group were higher than those of the control group,and the slow wave power spectrum value was lower than that of the control group(P<0.05).Conclusion Cerebral circulation therapy instrument can increase blood circulation in brain tissue of patients with cerebral infarction,improve tissue edema,and improve patients'activities of daily living.

关 键 词：老年 脑梗死 脑循环治疗 脑电图 脑血流 日常生活活动能力 

分 类 号：R743.33[医药卫生—神经病学与精神病学]