中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
19期
29-30
,共2页
急性缺血性脑血管病%经颅多普勒%微栓子监测%颈动脉硬化
急性缺血性腦血管病%經顱多普勒%微栓子鑑測%頸動脈硬化
급성결혈성뇌혈관병%경로다보륵%미전자감측%경동맥경화
Acute ischemic cerebrovascular disease%Tran cranial Doppler%Micro-emboli monitoring
目的：探讨急性脑梗死患者微栓子监测与颈动脉硬化的关系。方法选取我院2013-01-2013-12收治的60例急性缺血性脑血管病患者为研究组，并选取同期60例非急性缺血性脑血管病患者为对照组，对2组患者实施经颅多普勒微栓子监测。结果研究组微栓子阳性率40.0％，对照组为38.3％，2组比较差异无统计学无意义（ P＞0.05）；微栓子阳性患者颈动脉斑块发生率59.6％（28/47），微栓子阴性患者39.7％（29/73），2组比较差异有统计学意义（ P＜0.05）。微栓子阳性患者不稳定颈动脉斑块发生率96.4％（27/28），微栓子阴性患者为51.7％（15/29），2组比较差异有统计学意义（ P＜0.05）。结论微栓子监测对指导和预防颈动脉硬化的急性脑梗死患者具有较好的效果，具有一定的应用价值。
目的：探討急性腦梗死患者微栓子鑑測與頸動脈硬化的關繫。方法選取我院2013-01-2013-12收治的60例急性缺血性腦血管病患者為研究組，併選取同期60例非急性缺血性腦血管病患者為對照組，對2組患者實施經顱多普勒微栓子鑑測。結果研究組微栓子暘性率40.0％，對照組為38.3％，2組比較差異無統計學無意義（ P＞0.05）；微栓子暘性患者頸動脈斑塊髮生率59.6％（28/47），微栓子陰性患者39.7％（29/73），2組比較差異有統計學意義（ P＜0.05）。微栓子暘性患者不穩定頸動脈斑塊髮生率96.4％（27/28），微栓子陰性患者為51.7％（15/29），2組比較差異有統計學意義（ P＜0.05）。結論微栓子鑑測對指導和預防頸動脈硬化的急性腦梗死患者具有較好的效果，具有一定的應用價值。
목적：탐토급성뇌경사환자미전자감측여경동맥경화적관계。방법선취아원2013-01-2013-12수치적60례급성결혈성뇌혈관병환자위연구조，병선취동기60례비급성결혈성뇌혈관병환자위대조조，대2조환자실시경로다보륵미전자감측。결과연구조미전자양성솔40.0％，대조조위38.3％，2조비교차이무통계학무의의（ P＞0.05）；미전자양성환자경동맥반괴발생솔59.6％（28/47），미전자음성환자39.7％（29/73），2조비교차이유통계학의의（ P＜0.05）。미전자양성환자불은정경동맥반괴발생솔96.4％（27/28），미전자음성환자위51.7％（15/29），2조비교차이유통계학의의（ P＜0.05）。결론미전자감측대지도화예방경동맥경화적급성뇌경사환자구유교호적효과，구유일정적응용개치。
Objective To investigate the relationship between clinical monitoring of micro-emboli in acute cerebral infarc-tion and carotid atherosclerosis. Methods 60 patients with acute ischemic cerebrovascular disease from January 2013 to Decem-ber 2013 were selected as the study group ,60 patients without ischemic cerebrovascular disease were selected as the control group during the corresponding period. Tran cranial Doppler was used to monitor micro-emboli in Patients of the two groups.Results The micro emboli positive rate of study group was 40.0% , the micro emboli positive rate of control group was 38.3% ,there was no significant difference in the positive rate of micro-emboli between study group and the control group (P>0.05). The positive rate of carotid artery plaque in patients with positive micro-emboli was 59.6% (28/47) ,while that in pa-tients with negative micro emboli was 39.7% (29/73);Data of the two groups have statistically significant difference (P<0.05). The positive rate of unstable carotid plaques in patients with positive micro emboli was 96.4% (27/28) while that in pa-tients with negative micro-emboli was 51.7% (15/29);the difference of data between two subgroups was statistically signifi-cant (P<0.05).Conclusion Monitoring micro-emboli has important significance in the instruction of prevention and treatment of acute ischemic cerebrovascular disease in patients with carotid plaques and has a certain value in clinical application.
