中国实用神经疾病杂志Issue(6)：1-3,3.
经颅多普勒对蛛网膜下腔出血导致血管痉挛的临床研究
Study on transcranial doppler in cerebral vasospasm caused by subarachnoid hemorrhage
何霞 1陈劲 2白亚娥3
作者信息
- 1. 兰州大学第二医院定西市人民医院神经内科 定西 743000
- 2. 兰州大学第二医院定西市人民医院中医康复科 定西 743000
- 3. 兰州大学第二医院定西市人民医院护理部 定西 743000
- 折叠
摘要
Abstract
Objective To study the real-time and bedside application of transcranial Doppler (TCD) in the cerebral vaso-spasm (CVS) caused by subarachnoid hemorrhage (SAH) .Methods TCD was applied to detect the mean blood velocity (Vm) ,pulsatility index (PI) ,resistance index (RI) and blood flow spectrum of the middle cerebral artery (MCA) in the 180 patients with SAH diagnosed by Computed Tomography scan ,with control of self-healthy side .According to the detection of CVS ,Nimodipine was used to control the vasospasm and the results were recorded and analyzed .Results Compared bleeding side with healthy side ,the data of TCD show that PI and RI were increased ,and Vd and Vm were decreased ,in which there were statistical significance in PI ,RI ,Vd and Vm (P<0 .01) .And there were no statistical significance in Vs (P>0 .05) . There were statistical differences in Vm between CVS group and non-CVS group (P<0 .001) .All the 52 cases (28 .89% ) with vasospasm detected by TCD were all relieved by the treatment of Nimodipine .Conclusion The parameters of TCD could reflect the changes of brain blood flow and ICP ,which may be helpful for the diagnosis and treatment of SAH .And it is also helpful for the personalized treatment of CVS detected by TCD after SAH .关键词
经颅多普勒超声/蛛网膜下腔出血/颅脑损伤/脑血管痉挛Key words
Transcranial doppler/Subarachnoid hemorrhage/Hypertensive cerebral hemorrhage/Cerebral vasospasm分类
医药卫生引用本文复制引用
何霞,陈劲,白亚娥..经颅多普勒对蛛网膜下腔出血导致血管痉挛的临床研究[J].中国实用神经疾病杂志,2015,(6):1-3,3.
