不同梗死部位脑梗死后VCI患者右颈内动脉终末端TCD的特点分析  

Characteristics analysis of TCD at the end of right internal carotid artery in patients with VCI after cerebral infarction

作　　者：关如花 张文秋 张玉清 Guan Ruhua;Zhang Wenqiu;Zhang Yuqing(Sanhe City Hospital,Sanhe 065200,China)

机构地区：[1]河北省三河市医院,065200 [2]华北理工大学附属医院

出　　处：《现代养生》2023年第15期1194-1197,共4页Health Protection and Promotion

摘　　要：目的分析不同梗死部位的脑梗死后血管性认知障碍(VCI)的经颅多普勒超声(TCD)检测的特点,探讨各梗死部位右颈内动脉终末端(RICA)的TCD与VCI的相关性。方法选取2021年8月-2022年9月华北理工大学附属医院神经内科住院的252例脑梗死后VCI患者为病例组,同期选取252例脑梗死但未发生梗死后VCI患者为对照组,进行TCD检测,并按照脑梗死部位,分析脑梗死后VCI患者的TCD特点。结果梗死发生在右额叶的VCI患者的RICA频谱异常合并血流速度增快、血流速度减慢;梗死发生在左基底节、右基底节、右侧脑室的VCI患者RICA血流速度增快;梗死发生在左侧大脑半球、右侧大脑半球的VCI患者RICA的频谱异常合并血流速度增快;左颞叶梗死VCI的患者RICA的频谱异常合并血流速度减慢;右枕叶梗死的VCI患者RICA的血流速度增快、血流速度正常;梗死发生在右小脑的VCI患者RICA的血流速度正常。以上指标病例组与对照组间的差异均有统计学意义(P<0.05)。结论发生在左额叶、右颞叶、左丘脑、右丘脑、左小脑、左顶叶、右顶叶、左枕叶的脑梗死后VCI患者,RICA特征与对照组明显不同;而发生在右额叶、左基底节、右基底节、左颞叶、右小脑、脑干、右枕叶、左侧大脑半球、右侧大脑半球、右侧脑室的脑梗死后VCI患者的RICA特征与对照组无差别。Objective To analyze the characteristics of Transcranial Doppler(TCD)in detecting vascular cognitive impairment(VCI)after cerebral infarction,and to explore the correlation between TCD and VCI at the location of cerebral infarction and the end of right internal carotidartery(RICA).Methods From August 2021 to September 2022,a total of 252 patients with VCI after cerebral infarction were selected from the Department of Neurology,Affiliated Hospital of North China University of Science and Technology as case group,at the same time,252 patients with cerebral infarction but without post-infarction VCI were selected as control group,TCD was detected and the characteristics of TCD in patients with VCI after cerebral infarction were analyzed according to the location of cerebral infarction.Results In VCI patients with infarction in the right frontal lobe,the RICA spectrum was abnormal with increased flow velocity and decreased flow velocity.RICA blood flow velocity increased in VCI patients with infarction in left basal ganglia,right basal ganglia and right ventricle.In VCI patients with infarction in the left and right cerebral hemispheres,the frequency of RICA was abnormal and the velocity of blood flow was increased.The frequency spectrum of RICA in patients with VCI of left temporal lobe infarction was abnormal and the velocity of blood flow was decreased.RICA blood flow velocity was increased and normal in VCI patients with right occipital lobe infarction and normal in VCI patients with right cerebellar infarction.There were significant differences between case group and control group(P<0.05).Conclusion VCI patients occurred in left frontal lobe,right temporal lobe,left thalamus,right thalamus,left cerebellum,left parietal lobe,right parietal lobe,left occipital lobe,the characteristics of RICA were obviously different from the control group.There was no significant difference in RICA characteristics between VCI patients and control group after cerebral infarction in right frontal lobe,left basal ganglia,right basal

关 键 词：脑梗死 血管性认知障碍 经颅多普勒超声诊断标准 右颈内动脉终末端 阿尔茨海默病 

分 类 号：R743.3[医药卫生—神经病学与精神病学]