急性缺血性脑卒中NIHSS评分与颈动脉斑块内新生血管的相关性研究  

Correlation study of NIHSS score and intraplaque neovascularization within carotid in patients with acute ischemic stroke

作　　者：苏前[1] 周剑锋 皮永前[2] 何欢 李辉碧 黄忠华 SU Qian;ZHOU Jianfeng;PI Yongqian;HE Huan;LI Huibi;HUANG Zhonghua(Dept.of Neurology,Liutie Central Hospital of Liuzhou,Liuzhou 545007,China;Dept.of Ultrasound,Liutie Central Hospital of Liuzhou,Liuzhou 545007,China)

机构地区：[1]柳州市柳铁中心医院神经内科,广西柳州545007 [2]柳州市柳铁中心医院超声科,广西柳州545007

出　　处：《华夏医学》2023年第4期38-41,共4页Acta Medicinae Sinica

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190196)。

摘　　要：目的:探讨急性缺血性脑卒中(AIS)患者美国国立卫生研究院卒中量表(NIHSS)评分与颈动脉斑块内新生血管(IPN)的相关性。方法:选取2019年6月至2021年10月收治的73例AIS患者,采用NIHSS评分评估患者神经功能缺损程度,采用超声造影检查颈动脉IPN。分析AIS患者神经功能缺损NIHSS评分,颈动脉IPN分级,以及NIHSS评分与IPN的相关性。结果:神经功能缺损中重度组颈动脉IPNⅢ级+Ⅳ级的占比80.8%,高于神经功能缺损轻度组的54.7%,差异有统计学意义(P<0.05)。AIS患者颈动脉IPN与NIHSS评分呈正相关,r=0.267(P<0.05)。结论:AIS患者颈动脉IPN与神经功能缺损NIHSS评分相关联,颈动脉IPN分级越高,神经功能缺损越严重。Objective:To investigate the correlation between national institutes of health stroke scale(NIHSS)score and intraplaque neovascularization(IPN)within carotid in patients with acute ischemic stroke(AIS).Methods:Seventy-three AIS patients admitted from June 2019 to October 2021 were included,NIHSS score was used to assess the degree of neurological deficit and carotid IPN was evaluated by using contrast-enhanced ultrasound.The NIHSS score,carotid IPN grade,and the correlation between NIHSS score and IPN grade were analyzed in AIS patients.Results:The proportion of carotid IPN gradeⅢ+Ⅳin moderate and severe neurological deficit group was 80.8%higher than 54.7%in mild neurological deficit group,and the difference was statistically significant(P<0.05).Carotid IPN grade was positively associated with the NIHSS score in AIS patients,r=0.267(P<0.05).Conclusion:Carotid IPN grade was associated with the neurological deficit NIHSS score in AIS patients,and the higher the carotid IPN grade is,the more serious the neurological deficit is.

关 键 词：急性缺血性脑卒中 超声造影 NIHSS评分 颈动脉 斑块内新生血管 

分 类 号：R743.3[医药卫生—神经病学与精神病学]