中国实用神经疾病杂志2017，Vol.20Issue(19)：36-39,4.DOI:10.3969/j.issn.1673-5110.2017.19.008
进展性脑梗死脑侧支循环形成及其对近期神经功能的影响
The formation of collateral circulation in progressive cerebral infarction and its effects on early neurological function
摘要
Abstract
Objective To explore the formation of collateral circulation in patients with progressive cerebral infarction and its effect on early neurological function.Methods CTA imaging results of 352 patients with acute cerebral infarction were collected to analyze the formation of collateral circulation of progressive cerebral infarction.The degree of neurological deficits and activities of daily living evaluated by NIHSS score and ADL score in patients were collected on admission and treatment for 14 days to investi-gate the effect of the formation of collateral circulation on the early neurological function.Results (1)In 352 cases of acute cere-bral infarction,97 cases (27.6%)were progressive cerebral infarction and 255 cases (72.4%)were non-progressive.In 97 cases of progressive cerebral infarction,56 cases (57.7%)were with none collateral and 41 cases (42.3%)were with collaterals;In 255 ca-ses of non-progressive cerebral infarction,99 cases (38.8%)had none collateral and 156 cases (61.2%)had collaterals.The pro-portion of collateral circulation in progressive cerebral infarction was lower than in non-progressive(χ2 =10.195,P =0.002).(2)In 97 cases of progressive cerebralinfarction,the NIHSS scores and the degree of ADL deficiency on admission and treatment for 14 days in none collateral group were significantly higher than in collaterals group (t =2.567,P =0.012;Z =-2.152,P =0.031);In 255 cases of non-progressive cerebral infarction,the NIHSS scores and the degree of ADL deficiency on admission and treatment for 14 days in none collateral group were also significantly higher than in collaterals group (t =2.371,P =0.019;Z = -2.437, P =0.015).Conclusions Poor collateral circulation in patients with progressive cerebral infarction,the recovery of neurological function in patients with acute cerebral infarction without collateral circulation was poor.关键词
进展性脑梗死/侧支循环/CT血管造影/NIHSS评分/ADL评分/预后Key words
Progressive cerebral infarction/Collateral circulation/CT angiography/NIHSS score/ADL score/Prognosis分类
医药卫生引用本文复制引用
任伯,毛文静,刘斌,赵彬,张晋霞,李世英,王一超..进展性脑梗死脑侧支循环形成及其对近期神经功能的影响[J].中国实用神经疾病杂志,2017,20(19):36-39,4.基金项目
河北省科技厅科研项目(No.16277797D) （No.16277797D）
河北省医学跟踪项目(No.G20150050) （No.G20150050）
中国煤炭工业协会科学科研课题(No.MTKJ2015-295) （No.MTKJ2015-295）
河北省医学重点研究课题(No.20150512) （No.20150512）
