多模式MRI在急性缺血性脑卒中患者行溶栓治疗中的指导作用

The guiding role of the multi-mode MRIin thrombolytic therapy in patients with acute ischemic stroke

目的:研究多模式MRI在急性缺血性脑卒中(AIS)患者行溶栓治疗中的指导作用。方法:选我院收治的186例急性缺血性脑卒中患者根据溶栓治疗情况分为非溶栓治疗组(对照组)、溶栓治疗组(观察组)。比较两组患者的临床疗效、预后情况、脑灌注状态以及侧支循环状况。结果:治疗后观察组脑血流(CBF)、异常灌注面积、脑血管评分改善情况优于对照组(P<0.05)。结论:多模式MRI检查可筛选出急性缺血性脑卒中患者中溶栓治疗适应病例。

Objective:To explore the guiding role of multimodal MRI in acute ischemic stroke(AIS)with thrombolytic therapy.Methods:186 patients with AIS admitted to ourHospital weredivided into control group(treated with non-thrombotic therapy)and observation group(treated with thrombotic therapy)according to thrombolytic therapy.Tocompare the clinical efficacy,prognosis,cerebral perfusion status and collateral circulation status.Results:The improvement of cerebral blood flow(CBF),abnormal perfusion area and cerebrovascular score after treatment in observation group were better than control group(P<0.05).Conclusion:Multimodal MRI examination can screen out the patients with acute ischemic stroke who are suitable for thrombolytic therapy.