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TCD预测脑血管狭窄在医联体社区医院中的应用

李华 朱广荣 王海雪 姚海舟

中国实用神经疾病杂志2017,Vol.20Issue(15):30-31,2.
中国实用神经疾病杂志2017,Vol.20Issue(15):30-31,2.DOI:10.3969/j.issn.1673-5110.2017.15.009

TCD预测脑血管狭窄在医联体社区医院中的应用

Application of TCD examination in predicting cerebral vascular stenosis in community hospital

李华 1朱广荣 2王海雪 2姚海舟2

作者信息

  • 1. 北京市朝阳区安贞社区卫生服务中心,北京100011
  • 2. 北京大学公共卫生学院,北京100191
  • 折叠

摘要

Abstract

Objective To explore the value of transcranial Doppler (TCD) examination in predicting cerebral vascular stenosis.Methods All patients or suspected patients who accepted TCD examination from March 2014 to September 2016 were selected in the outpatient and inpatient department of community health service center.After having receiving TCD examination,all subjects accepted MRA or CTA examinations to calculate the consistency of those two inspection methods and figure up the sensitivity and specificity of TCD examination.Results Among the selected 90 cases,TCD examination showed 69 positive cases and 21 negative cases.MRI examination confirmed 64 cases in TCD-positive group and 6 cases in TCD-negative group.The sensitivity of TCD examination was 91.4 % and specificity was 75.0 %,which indicated that TCD examination reached intermediate-high level in comparison to gold standard used for inspecting cerebral vascular stenosis (Kappa=0.7).Conclusion TCD examination can be used to predict cerebral vascular stenosis and can provide references for early detection,prevention and treatment.

关键词

TCD检查/脑血管狭窄/预测

Key words

TCD examination/Cerebral vascular stenosis/Predict

分类

医药卫生

引用本文复制引用

李华,朱广荣,王海雪,姚海舟..TCD预测脑血管狭窄在医联体社区医院中的应用[J].中国实用神经疾病杂志,2017,20(15):30-31,2.

中国实用神经疾病杂志

1673-5110

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