摘要
目的探讨急性脑梗死患者颅内血管功能状态与神经功能缺损的关系。方法分析216例急性脑梗死患者首次发病72h内的TCD检查结果,分为正常组、前循环狭窄组、后循环狭窄组、前后循环均狭窄组,进行临床神经功能缺损NIHSS评分,分析神经功能缺损评分在各组间的差异。结果正常组临床神经功能缺损最少,预后较好;其次为前循环狭窄组、后循环狭窄组;前后循环均狭窄组神经功能缺损最严重,预后最差。结论 TCD可对颅内血管的功能状态有初步的了解,便于做到个体化治疗,改善预后。
Objective To study the correlation between intracranial artery stenosis and neurological function.Methods Totally 216 patients with a first ischemic stroke underwent neurological function assessment according to the NIH Stroke Scale（NIHSS）.According to the result of transcranial Doppler（TCD）examination,they were divided into 4 groups：the normal group,anterior circulation stenosis group,posterior circulation stenosis group,combined anterior and posterior circulation group.All these examinations were completed within 72 hours from stroke onset.Results The normal group had the best clinical outcome and the anterior circulation and posterior circulation group had better outcome.The combined anterior and posterior circulation group had the worst clinical outcome.Conclusion TCD examination in the acute cerebral infarction can predict the prognosis when the individualized therapeutic decision must be made.
出处
《中国实用神经疾病杂志》
2013年第11期15-16,共2页
Chinese Journal of Practical Nervous Diseases
关键词
卒中登记
脑梗死
TCD
预后
Stroke registry
Cerebral infarction
TCD
Prognosis
