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目的观察脑梗死应用颈动脉灌注治疗前后临床TCD监测的对比。方法对36例急性脑梗死应用20%甘露醇+纳洛酮颈动脉灌注术在治疗前后行TCD临床动态观察。结果急性脑梗死患者经颈动脉灌注术治疗后临床症状明显改善,TCD监测各参数明显改善,且脑部平均血流速度、舒张期流速、脉动指数及阻力指数改善明显。结论颈动脉灌注治疗急性脑梗死根据TCD检测的血流动力学的特征性改变,给临床治疗急性脑梗死提供了有力依据,对促进神经功能恢复,抑制病情发展起到巨大作用。
Objective To observe the clinical comparison of TCD before and after the treatment of cerebral infarction with carotid artery perfusion. Methods TCD was performed in 36 patients with acute cerebral infarction treated with 20% mannitol and naloxone carotid artery perfusion. Results The clinical symptoms of patients with acute cerebral infarction were significantly improved after carotid artery perfusion. The parameters of TCD monitoring were significantly improved. The mean cerebral blood flow velocity, diastolic flow velocity, pulsation index and resistance index were significantly improved. Conclusion Carotid artery perfusion treatment of acute cerebral infarction according to TCD detection of hemodynamic changes in the characteristics of the clinical treatment of acute cerebral infarction provides a strong basis for the promotion of neurological recovery and inhibit the progression of the disease played a huge role.