影像科学与光化学2024，Vol.42Issue(4)：392-398,7.DOI:10.7517/issn.1674-0475.2024.04.14
脑颈一体化超声结合血清NSE对急性脑梗死神经功能预后的预测研究
Prediction of Neurofunctional Prognosis in Acute Cerebral Infarction by Integrated Neck-brain Ultrasound Combined with Serum NSE
苗蔚 1张松 1唐思远 1朱林芳 1全恒宇 1周子昂 1唐毅辉1
作者信息
- 1. 云南省滇南中心医院(红河州第一人民医院)超声医学科,云南蒙自 661199
- 折叠
摘要
Abstract
Objective:The aim of this study was to evaluate the value of integrated brain-neck ultrasound combined with serum neuron-specific enolase(NSE)in predicting poor neurological outcomes in patients with acute cerebral infarction(ACI).Methods:A total of 207 patients with ACI and 207 healthy volunteers were included in the study.Integrated brain and neck ultrasonography was performed to measure the blood flow parameters and carotid artery characteristics,and serum NSE levels were detected by electrochemical immunoluminescence method.The incidence of adverse neurological function prognosis was analyzed through follow-up,and relevant factors were analyzed by Logistic regression.The predictive value of cerebrocervical integrated ultrasound and serum NSE for adverse neurological function prognosis in ACI patients was analyzed by receiver operating characteristic(ROC)curve.Results:Compared with healthy volunteers,ACI patients showed significant abnormalities in brain neck integrated ultrasound parameters and elevated serum NSE levels.Patients with poor neurological prognosis perform poorly on multiple indicators.The combined use of integrated brain neck ultrasound and serum NSE improved the accuracy of predicting poor neurological function prognosis.Conclusion:The combination of brain-neck ultrasound and serum NSE is an effective method to predict the poor prognosis of neurological function in ACI patients,with high sensitivity and accuracy.Contribution:This study provides clinicians with a new and reliable predictive tool for early identification of high-risk patients with ACI with poor neurological function prognosis,thereby guiding clinical treatment and improving prognosis.At the same time,this study also enriched the research content in the field of acute cerebral infarction prognosis assessment,and provided new ideas and directions for future research.关键词
脑颈一体化超声/神经元特异性烯醇化酶/急性脑梗死/神经功能预后Key words
neck-brain integrated ultrasound/neuron specific enolase/acute cerebral infarction/neurofunctional prognosis分类
医药卫生引用本文复制引用
苗蔚,张松,唐思远,朱林芳,全恒宇,周子昂,唐毅辉..脑颈一体化超声结合血清NSE对急性脑梗死神经功能预后的预测研究[J].影像科学与光化学,2024,42(4):392-398,7.
