中风与神经疾病杂志2019，Vol.36Issue(1)：43-47,5.
TCD动态监测软脑膜侧支循环状态评估急性缺血卒中患者预后的可行性分析
The analysis of feasibility to use the state of leptomeningeal collateral circulation monitored by TCD assessing the prognosis of patients with acute cerebral infarction
张建强 1曲丹丹 1张艳丽 1张珍 1马弯弯 1齐俊丽 1富奇志1
作者信息
- 1. 河南科技大学临床医学院河南科技大学第一附属医院神经内科,河南 洛阳 471003
- 折叠
摘要
Abstract
Objective To study the effects of the status and changes of leptomeningeal collateral circulation to prognosis of patients with acute cerebral infarction which MCA M1 segment arterial being occluded through transcranial doppler (TCD) monitored dynamically. Methods Patients with acute cerebral infarction which M1-segment of MCA being occluded were collected. TCD and NIHSS score were performed and assessed on admission, 7 d, 14 d, 21 d, 60 d and 90 d. Divided into FD-positiveand FD-negative group according to different status of leptomeningeal collateral circulation. The differences of recent and long-term prognosis were compared. Results A total of 57 cases were included, among them 43 cases were FD positive (75％) , 14 cases were FD negative (25％) . During the course, the existence of FD being sustained stably. The prognosis of patients with FD positive were better than that of FD negative patients (P < 0. 05) . Conclusion During the course of the patients with acute cerebral infarction caused by the occlusion of M1-segment MCA, the existing state of leptomeningeal collateral circulation being sustained stablely. Leptomeningeal collateral circulation had good compensatory effect to patients with acute cerebral infarction caused by the occlusion of M1-segment MCA. Its existence could improve the patients' recent and long-term prognosis significantly and lower the progression risk of acute ischemic stroke.TCD was a favorable tool which could used to assess the prognosis of patients with acute cerebral infarction which MCA M1 segment arterial was occluded through monitoring the status of leptomeningeal collateral circulation.关键词
软脑膜侧支循环/TCD/血流转向或分流血流信号 (FD)/预后/急性缺血性卒中Key words
Leptomeningeal collateral circulation/TCD/FD/Prognosis/Acute cerebral infarction分类
医药卫生引用本文复制引用
张建强,曲丹丹,张艳丽,张珍,马弯弯,齐俊丽,富奇志..TCD动态监测软脑膜侧支循环状态评估急性缺血卒中患者预后的可行性分析[J].中风与神经疾病杂志,2019,36(1):43-47,5.
