陕西医学杂志2011，Vol.40Issue(11)：1486-1489,4.
脑血管造影血流冲击对急性脑梗死的治疗作用
The effect of bloodstream impact during cerebral angiography on early acute cerebral infarction
摘要
Abstract
Objective:To observe the effect of bloodstream dynamic during cerebral angiography on the clinical neurologic impairment of the patients with early acute cerebral infraction. Methods I Cerebral angiography was performed to 32 acute cerebral infarction patients within 24h after onset and the clinical neurologic impairment was assessed according to the National Institute of health stroke scale (NIHSS) and Chinese stroke scale (CSS) before the operation and 0. 5h, 6h, 24h, 48h after the operation respectively. Expansion or stenting was performed to some of the patients. Results:The clinical neurologic impairments in 28 patients (87. 5% of the patients) improved remarkably at 0. 5h after the operation comparing with that before the operation. The score of NIHHS and CSS before and after the operation decreased from 11.13 ± 7.11 and 23. 12 ± 4. 36 to 5. 32 ± 4. 31 and 10.12 ±3. 22 respectively. The score of clinical neurologic impairment in 18 patients (56. 25% of the patients) who were only performed cerebral angiography had no significant difference at 6h after the operation comparing with that before the operation. Both the score of NIHHS and CSS were lower at 0. 5h and 6h after operation. The score at 24h after operation rose remarkably,but it was still lower than that before the operation in 32 patients. Conclusions: Cerebral angiography can improve the condition of patients with early cerebral infarction. Reasonable high pressure bloodstream impact may be a better treatment to early acute cerebral infarction.关键词
脑梗塞/治疗/脑血管造影术/血流动力学Key words
Brain infarction/therapy/Cerebral angiography/Hemodynamics分类
医药卫生引用本文复制引用
张桂莲,张茹,王虎清,吴海琴,孙宏,展淑琴,杨新利,祁晓江..脑血管造影血流冲击对急性脑梗死的治疗作用[J].陕西医学杂志,2011,40(11):1486-1489,4.基金项目
西安交通大学医学院第二附属医院2009年新技术资助项目 （）
