CAJ | 학술논문

目的：探讨经颅多普勒（TCD）检测在缺血性脑卒中患者的诊断及评估预后中的作用。方法55例缺血性脑卒中患者，根据大脑中动脉（MCA）有无狭窄及闭塞，分为MCA有狭窄及闭塞组（40例）和MCA无狭窄及闭塞组（15例）。入院时对两组病人进行临床神经功能缺损NIHSS评分，分析两组神经功能缺损评分差异。6个月后进行随访，比较两组的复发率；并进行巴塞尔指数（Barthel Index，BI）评估，分析两组病人预后的差别。结果入院时，MCA有狭窄及闭塞组NIHSS评分明显高于MCA无狭窄及闭塞组(P<0.05)；6个月后MCA有狭窄及闭塞组的日常生活能力差于MCA无狭窄及闭塞组(P<0.05)，且复发率高于后者(P<0.05)。结论 TCD可用于缺血性脑卒中患者的诊断及评估预后，并可预示再发缺血性卒中的危险性。
목적：탐토경로다보륵（TCD）검측재결혈성뇌졸중환자적진단급평고예후중적작용。방법55례결혈성뇌졸중환자，근거대뇌중동맥（MCA）유무협착급폐새，분위MCA유협착급폐새조（40례）화MCA무협착급폐새조（15례）。입원시대량조병인진행림상신경공능결손NIHSS평분，분석량조신경공능결손평분차이。6개월후진행수방，비교량조적복발솔；병진행파새이지수（Barthel Index，BI）평고，분석량조병인예후적차별。결과입원시，MCA유협착급폐새조NIHSS평분명현고우MCA무협착급폐새조(P<0.05)；6개월후MCA유협착급폐새조적일상생활능력차우MCA무협착급폐새조(P<0.05)，차복발솔고우후자(P<0.05)。결론 TCD가용우결혈성뇌졸중환자적진단급평고예후，병가예시재발결혈성졸중적위험성。
Abjective:To investigate the effect of transcranial Doppler (TCD) detection in the diagnosis and evaluation of prognosis in patients with ischemic stroke. Methods:Total y, 55 patients with ischemic stroke, according to the presence or absence of middle cerebral artery (MCA) stenosis and occlusion were divided into MCA stenosis and occlusion group (40 cases) and MCA without stenosis and occlusion group (15 cases). At admission,the clinical neural function defect score of NIHSS of two groups of patients was assessed ,with the difference.of nerve function defect score of two groups analysed. Fol owed up after 6 months, the difference of .the recurrence rate and Barthel Index score of two groups was analysed. Results:On admission, NIHSS score of the group with MCA stenosis and occlusion was significantly higher than that of the group without MCA stenosis and occlusion (P<0.05); The daily life ability of the group with MCA stenosis and occlusion was poorer than that of the group without MCA stenosis and occlusion after 6 months (P<0.05), and the recurrence rate was higher than the latter (P<0.05).Conclusion:TCD is available for diagnosis and evaluation of prognosis in patients with ischemic stroke, and it can predict the risk of ischemic stroke recurrence.