海南医学院学报2016，Vol.22Issue(15)：1741-1744,1748,5.DOI:10.13210/j.cnki.jhmu.20160330.001
经颅多普勒血流动力学分型对大脑中动脉急性脑梗死患者预后的评估价值
Assessment value of transcranial Doppler hemodynamic typing for prognosis of patients with acute middle cerebral artery infarction
摘要
Abstract
Objective:To analyze the assessment value of transcranial Doppler hemodynamic typing for prognosis of pa-tients with acute middle cerebral artery infarction.Methods:A total of 54 patients with acute middle cerebral artery infarction who received treatment in our hospital were included for study,and according to different types,they were divided into total occlusion group (1 7 cases),partial occlusion group (28 cases)and non-occlusion group (9 cases).Differences in levels of in-farction-related proteins,coagulation-related indicators,illness-related factors,etc in circulating blood of the three groups were compared,and the correlation of middle cerebral arterial systolic velocity (Vs)and diastolic velocity (Vd)with above indicators was further analyzed.Results:Vs and Vd values of non-occlusion group were higher than those of total occlusion group and partial occlusion group,and Vs and Vd values of partial occlusion group were higher than those of total occlusion group (P <0.05);serum Gelsolin,PT,APTT and TT values of non-occlusion group were higher,SAA,Apo- CⅡ,HbA1c,GSP,Aβ, HSP70,FIB,D-D,Copeptin,P-selectin,PTX3,TPO and FFA values were lower showing significant differences comparing with partial occlusion group and total occlusion group,differences were (P <0.05);Gelsolin,PT,APTT and TT values of partial occlusion group were higher than those of total occlusion group,and SAA,Apo- CⅡ,HbA1c,GSP,Aβ,HSP70, FIB,D-D,Copeptin,P-selectin,PTX3,TPO and FFA values were lower than those of total occlusion group (P <0.05);mid-dle cerebral arterial Vs and Vd values were directly proportional to Gelsolin,PT,APTT and TT values,and inversely propor-tional to SAA,Apo- CⅡ,HbA1c,GSP,Aβ,HSP70,FIB,D-D,Copeptin,P-selectin,PTX3,TPO and FFA values (P <0.05).Conclusion:Transcranial Doppler hemodynamic typing could be a reliable way to judge the severity of acute middle cere-bral artery infarction,and has great value in assessing disease prognosis.关键词
大脑中动脉急性脑梗死/经颅多普勒/血流动力学Key words
Acute middle cerebral artery infarction/Transcranial Doppler/Hemodynamic分类
医药卫生引用本文复制引用
谢静..经颅多普勒血流动力学分型对大脑中动脉急性脑梗死患者预后的评估价值[J].海南医学院学报,2016,22(15):1741-1744,1748,5.基金项目
新疆博乐第五师双合市科技局(2014AE024) （2014AE024）
