经颅多普勒在急性脑梗死静脉溶栓治疗中的应用观察

TCD observation of thrombolytic therapy in acute cerebral infarction

目的应用经颅多普勒(TCD)监测急性脑梗死静脉溶栓治疗前后血流的变化。方法对43例急性脑梗死患者,在治疗前及溶栓治疗开始进行TCD监测并且持续2 h,同时评价静脉溶栓前后的NIHSS评分。结果不同残留血流级别患者中血管再通率有显著性差异,随残留血流信号的改善,NIHSS评分下降。结论 TCD在急性脑梗死静脉溶栓时能及时了解血管再通情况,其血流改善与患者预后密切相关。

Objective Transcranial Doppler （TCD） monitoring changes in blood flow after intravenous thrombolysis treatment in acute cerebral infarction. Methods 43 cases of acute cerebral infarction, started and continued 2 h TCD monitoring before and after thrombolytic therapy, and to evaluate the NIHSS scores before and after intravenous thrombolytic therapy. Results Different residual blood levels in patients with vascular re- canalization rate had significant difference, with the residual signal improvement, NIHSS score decreased. Con. elusion TCD after intravenous thrombolysis in acute cerebral infarction timely understanding of vascular reca- nalization, the improvement of blood flow and prognosis.