多模式磁共振成像指导下觉醒型脑卒中再灌注治疗的临床研究  

The clinical study of reperfusion therapy in patients with wake-up strokes under the guidance of multimodal magnetic resonance imaging

作　　者：储小雨 陈巨罗 王幼萌[2] 孙中武[1] Chu Xiaoyu;Chen Juluo;Wang Youmeng(Dept of Neurology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022;Dept of Neurology,The Fuyang People′s Hospital,Fuyang 236000)

机构地区：[1]安徽医科大学第一附属医院神经内科,合肥230022 [2]阜阳市人民医院神经内科,阜阳236000

出　　处：《安徽医科大学学报》2021年第6期973-976,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81771154)。

摘　　要：回顾性分析146例觉醒型脑卒中(WUS)患者,依据头颅磁共振成像(MRI)弥散加权成像(DWI)/液体衰减反转回复(FLAIR)序列或灌注加权成像(PWI)/核心梗死体积不匹配行再灌注治疗。其中62例患者行再灌注治疗后,24 h NIHSS评分及90 d mRS评分分值低于未再灌注治疗的患者(84例),其症状性颅内出血发生率及病死率未增加。多模式MRI指导WUS患者的再灌注治疗是安全有效的治疗方法。The clinical date of 146 patients with wake-up strokes(WUS)were retrospectively analyzed.Reperfusion therapy in 62 patients with WUS was performed according to the mismatch of cerebral MRI DWI/FLAIR or PWI/Core Infarct Volume.The scores of 24 h NIHSS and 90 d mRS in reperfusion were lower than those of the 84 patients in WUS non-reperfusion.The incidence symptomatic intracranial hemorrhage and mortality did not increase.Reperfusion therapy for WUS patients under the guidance of multimodal magnetic resonance imaging is safe and effective.

关 键 词：觉醒型脑卒中 多模式磁共振 再灌注 治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]