CAJ | 학술논문

目的：研究SPECT-CT融合机检测重型颅脑损伤昏迷患者行右正中神经电刺激前后脑血流灌注变化情况。方法选择我院重型颅脑损伤患者50例作为研究对象，伤后2周持续昏迷，接受右正中神经电刺激治疗。治疗前后7 d均进行SPECT-CT检查，评价脑血流灌注变化的情况。利用MATLAB和SPM软件对检测结果进行分析处理，得到昏迷患者的脑皮层血流及健康成人的比较值，使用区域分析法进行脑皮层分析，丘脑及脑干部位的血流灌注增加特征变化，利用图形重建迭加技术获得脑表面血流灌注增加值。并测量GCS和GOS评分，伤后1年作GOS预后评估。结果电刺激治疗后，患者脑血流有明显改善，血流灌注增加表现，GOS评分较电刺激后评分升高。结论右正中神经电刺激技术可以改善脑干血流灌注状况。
목적：연구SPECT-CT융합궤검측중형로뇌손상혼미환자행우정중신경전자격전후뇌혈류관주변화정황。방법선택아원중형로뇌손상환자50례작위연구대상，상후2주지속혼미，접수우정중신경전자격치료。치료전후7 d균진행SPECT-CT검사，평개뇌혈류관주변화적정황。이용MATLAB화SPM연건대검측결과진행분석처리，득도혼미환자적뇌피층혈류급건강성인적비교치，사용구역분석법진행뇌피층분석，구뇌급뇌간부위적혈류관주증가특정변화，이용도형중건질가기술획득뇌표면혈류관주증가치。병측량GCS화GOS평분，상후1년작GOS예후평고。결과전자격치료후，환자뇌혈류유명현개선，혈류관주증가표현，GOS평분교전자격후평분승고。결론우정중신경전자격기술가이개선뇌간혈류관주상황。
Objective To study the cerebral blood flow perfusion changes of severe injury coma patients before and after the right median nerve electrical stimulation by SPECT -CT fusion .Methods 50 patients with severe head injury in a prolonged coma after injury for 2 weeks were underwent right median nerve electrical stimulation therapy .Evaluation of cerebral blood flow perfusion changes were performed on 7 days before and after treatment through SPECT-CT.The test results were analyzed by MATLAB and SPM software .Results The cerebral blood flow , blood perfusion and GOS score were increased obviously after electrical stimulation .Conclusion Right median nerve electrical stimulation technology can improve blood flow and perfusion .