经颅多普勒与定量脑电图联合用于缺血性卒中预后的研究进展

Research progress of transcranial Doppler combined with quantitative electroencephalogram for the evaluation of prognosis of ischemic stroke

缺血性卒中是最常见的脑血管病,具有较高的致残率及病死率。神经影像学检查在卒中的诊断、鉴别诊断和选择诊疗方案中都有重要的临床价值,但在监测卒中后脑缺血的进展及评估预后时有一定局限性。经颅多普勒与定量脑电图都具备无创、易于床旁及动态监测的特点,在临床评估脑血管病及患者脑功能状态方面具有较高的应用价值。本文就经颅多普勒与定量脑电图在缺血性卒中预后评估中的应用价值进行综述,以期为急性期缺血性卒中有效评估患者临床预后以及未来研究方向提供一些参考。

Ischemic stroke is the most common cerebrovascular disease with high morbidity and mortality.Neuroim⁃aging examination has important clinical value in the diagnosis,differential diagnosis of stroke and the selection of treat⁃ment options,but it has certain limitations in monitoring the progress of post-stroke cerebral ischemia and evaluating prog⁃nosis.Both transcranial Doppler(TCD)and quantitative electroencephalogram(QEEG)have the characteristics of noninvasive,easy bedside and dynamic monitoring,and have high application value in clinical evaluation of cerebrovascular diseases and brain function status of patients.This article reviews the application value of TCD and QEEG in the prognosis evaluation of ischemic stroke,in order to provide some references for the effective evaluation of clinical prognosis of pa⁃tients with acute ischemic stroke and for future research directions.