CTA检查侧支循环代偿评估急性脑梗死预后的价值分析  

Analysis of the value of CTA examination of collateral circulation compensation in evaluating the prognosis of acute cerebral infarction

作　　者：任长安[1] 王文娟 戚游 Ren Changan;Wang Wenjuan;Qi You(Department of Neurology,The Second People's Hospital of Lu'an City,Anhui,Luan 237008,China)

机构地区：[1]六安市第二人民医院神经内科,安徽六安237008

出　　处：《现代科学仪器》2022年第2期94-98,共5页Modern Scientific Instruments

摘　　要：目的:探讨头颅CTA检查侧支循环代偿对急性脑梗死预后的评估作用。方法:选择六安市第二人民医院收治的60例急性脑梗死患者进行分析,对比不同侧支循环代偿情况患者治疗3个月后的效果。结果:侧枝循环代偿不良者治疗3个月后神经功能分级与良好者对比差异显著(P<0.05),且前者神经功能良好率明显低于后者(P<0.05);侧支循环代偿不良者预后不良发生率明显高于侧支循环代偿良好者(P<0.05)。结论:头颅CTA检查侧支循环代偿情况与急性脑梗死神经功能恢复效果相关,且侧支循环代偿不良可增加预后不良的发生风险。Objective:To investigate the effect of cranial CTA examination of collateral circulation compensation on the prognosis of acute cerebral infarction.Methods:A total of 60 patients with acute cerebral infarction admitted to the Second People's Hospital of Lu'an City were selected for analysis,and the effects of patients with different collateral circulation compensation conditions after 3 months of treatment were compared.Results:There was significant difference in neurological function grade between patients with poor collateral circulation compensation and those with good collateral circulation after 3 months of treatment(P<0.05),and the rate of good neurological function in the former was significantly lower than that in the latter(P<0.05).The incidence of poor prognosis in poor patients was significantly higher than that in patients with good collateral circulation compensation(P<0.05).Conclusion:The compensation of collateral circulation in cranial CTA examination is related to the recovery of neurological function in acute cerebral infarction,and poor compensation of collateral circulation can increase the risk of poor prognosis.

关 键 词：头颅CT血管成像 侧支循环代偿 急性脑梗死 预后 

分 类 号：R743.33[医药卫生—神经病学与精神病学]