中国实用神经疾病杂志2017，Vol.20Issue(13)：12-14,3.
经颅多普勒监测蛛网膜下腔出血后脑血管痉挛的临床观察
Discussion on the feasibility of TCD monitoring and diagnosis of intracranial vascular spasm after SAH
摘要
Abstract
Objective To summary clinical value of ranscranial Doppler (TCD) examination in the diagnosis of intracranial vascular spasm after subarachnoid hemorrhage (SAH).Methods From January 2016 to January 2012 78 patients with SAH admitted to our hospital were retrospectively analyzed and all the patients were performed TCD monitoring and digital subtraction angiography (DSA),each period in patients with intracranial vascular blood flow velocity changes were observed,and DSA examination results as the standard to judge the value of TCD in the diagnosis of intracranial vascular spasm.Results In 7-10d time period,the patient's MCA,ACA,VA,BA blood flow velocity reached the peak,then gradually decreased intracranial vascular spasm gradually ease;SAH patients with MCA,ACA,VA,BA blood flow velocity in<7d,7-10d,10-14d three time periods,the differences were statistically significant (P<0.05);78 patients with SAH,TCD diagnosis of 59 cases occurred intracranial vascular spasm,by TCD,and 62 cases were diagnosed by DSA.TCD in diagnosis of SAH patients with intracranial vascular spasm,the sensitivity was 93.55%,specificity was 93.75%,misdiagnosis rate was 6.45%,misdiagnosis rate was 6.25%,TCD and DSA in diagnosis of intracranial vasospasm consistency Kappa=0.816,P<0.05.Conclusion TCD in the diagnosis of cerebral vasospasm after SAH,the advantages of high accuracy and non-invasive,it is worthy of clinical application.关键词
经颅多普勒检查/蛛网膜下腔出血/脑血管/痉挛Key words
Transcranial Doppler/Subarachnoid hemorrhage/Cerebral vasospasm分类
医药卫生引用本文复制引用
顾志强,李楠..经颅多普勒监测蛛网膜下腔出血后脑血管痉挛的临床观察[J].中国实用神经疾病杂志,2017,20(13):12-14,3.基金项目
河南省医学科技攻关计划普通项目,编号:201702087 （）
