颈动脉彩超与TCD联合检查在脑卒中患者的应用价值

Application value of carotid artery ultrasonography combined with TCD examination in patients with stroke

目的探讨颈动脉彩超与经颅多普勒(TCD)联合检查在脑卒中患者的应用价值。方法将许昌市第二人民医院收治的50例有脑卒中高危因素的患者随机分成实验组和对照组,每组25例。实验组采用颈动脉彩超联合TCD检查的方法了解颅内外动脉有无斑块及狭窄,对照组仅用颈动脉彩超。实验组有22例发现颅内外动脉有斑块及狭窄,对照组发现18例颅外动脉有斑块及狭窄。两组患者均行常规阿司匹林抗血小板聚集联合他汀类降脂药治疗。观察两组患者出院治疗效果及6个月后随访发生脑卒中的情况。结果 6个月后随访,实验组1例发生脑卒中,对照组8例发生脑卒中。结论对脑卒中高危患者使用颈动脉彩超与TCD联合检查能更准确全面评价患者颅内外动脉的详细情况,为临床选择治疗方法提供更客观依据,提高治疗效果,降低脑卒中发生的风险。

Objective To investigate the application value of carotid artery ultrasonography combined with TCD examination in patients with stroke. Methods Fifty cases of high risk factors of brain stroke in the second people＇ s hospital of Xuchang were randomly divided into experimental group and control group with 25 cases in each group. The experimental group received carotid ultrasonography combined with TCD examination to explore intraeranial and extracranial artery plaques and stenosis, the control group were treated only with carotid artery color Doppler ultrasound. The experimental group were found in 22 cases of intracrani- al and extracranial arterial plaque and stenosis, in the control group, 18 cases of extracranial artery plaques and stenosis. Both groups underwent conventional aspirin antiplatelet combination of statin therapy. Both groups of patients discharged from hospital treatment and the occurrence of cerebral apoplexy fallowed for 6 months were observed. Results After 6 months follow-up, there was one case of cerebral apoplexy in the experimental group with had 8 patients of stroke in control group. Conclusion With the conclusion carotid uhrasonography and TCD of the stroke patients at high risk for the use of the joint inspection can be a more ac- curate and comprehensive evaluation of patients with intracranial and extracranial artery, choice of treatment method to provide a more objective basis, improve the therapeutic effect, reduce the risk of stroke.