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侧支循环对单侧颈内动脉系统血管狭窄病人脑血流储备的影响 被引量：6

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摘要 目的利用自体二氧化碳(CO2)吸入法实现结合经颅多普勒超声(TCD)测定单侧颈内动脉系统血管狭窄病人的脑血流反应性(CVR),并初步评价侧支循环代偿情况对脑血流储备的影响。方法选择2008年11月—2009年10月在首都医科大学附属北京天坛医院神经内科住院治疗的单侧颈内动脉或单侧大脑中动脉狭窄或闭塞病人,共29例。所有病例均由数字减景血管造影(DSA)确诊。受试者进行TCD检查,记录CO2激发试验前后双侧大脑中动脉的血流速度,同时监测呼出CO2浓度的变化,根据公式得出脑血流储备。结果对不同等级代偿血流病人的CVR进行统计,发现1级代偿病人CVR与3级代偿病人比较差异有统计学意义(P<0.05)。而1级代偿病人与2级代偿病人的CVR比较差异无统计学意义(P=0.122),2级代偿病人与3级代偿病人CVR比较差异无统计学意义(P=0.117)。结论脑血流储备能力受侧支循环的建立情况影响,侧支血流代偿级别越低,脑血流储备能力受损越明显。
作者 宋清扬 王拥军 龚浠平 胡建科
机构地区 北京隆福医院 首都医科大学附属北京天坛医院
出处 《中西医结合心脑血管病杂志》 2013年第12期1475-1476,共2页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词 颈内动脉系统血管狭窄 经颅多普勒超声 侧支循环
分类号 R743 [医药卫生—神经病学与精神病学] R255.2 [医药卫生—中医内科学]
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参考文献10

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二级参考文献23

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共引文献5

同被引文献44

  • 1符颖,宁彬,李广霞,陈晓旭,韩秋.颈内动脉严重狭窄或闭塞患者的颅内前、后侧支循环开放的分析[J].中外医疗,2008,27(22):145-146. 被引量：3
  • 2聂淑敏,潘旭东,刘佩云.经颅多普勒超声检测颈内动脉重度狭窄或闭塞患者血流动力学的改变[J].中华临床医师杂志（电子版）,2011,5(6):1737-1739. 被引量：14
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  • 9林海峰,陈湛愔,陈逢俭,陈文荣.短暂性脑缺血发作进展至脑梗死的多因素分析[J].中国老年学杂志,2008,28(6):586-587. 被引量：7
  • 10王建红,郭富强,吴文斌,张天,余能伟.颈内动脉重度狭窄或闭塞患者的侧支循环与神经功能的单因素分析[J].中华神经医学杂志,2009,8(11):1143-1146. 被引量：9

引证文献6

二级引证文献25

中西医结合心脑血管病杂志
2013年 第12期

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