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目的探讨颈动脉彩超与经颅多普勒(TCD)联合检查在脑卒中患者的应用价值。方法将许昌市第二人民医院收治的50例有脑卒中高危因素的患者随机分成实验组和对照组,每组25例。实验组采用颈动脉彩超联合TCD检查的方法了解颅内外动脉有无斑块及狭窄,对照组仅用颈动脉彩超。实验组有22例发现颅内外动脉有斑块及狭窄,对照组发现18例颅外动脉有斑块及狭窄。两组患者均行常规阿司匹林抗血小板聚集联合他汀类降脂药治疗。观察两组患者出院治疗效果及6个月后随访发生脑卒中的情况。结果 6个月后随访,实验组1例发生脑卒中,对照组8例发生脑卒中。结论对脑卒中高危患者使用颈动脉彩超与TCD联合检查能更准确全面评价患者颅内外动脉的详细情况,为临床选择治疗方法提供更客观依据,提高治疗效果,降低脑卒中发生的风险。
Objective To investigate the value of combined carotid ultrasonography and transcranial Doppler (TCD) in stroke patients. Methods Fifty patients with high risk of stroke who were admitted to Second People’s Hospital of Xuchang City were randomly divided into experimental group and control group, with 25 cases in each group. The experimental group using carotid color Doppler ultrasound combined with TCD method to understand intracranial and extracranial arterial plaque and stenosis, the control group only carotid ultrasound. Experimental group, 22 cases of intracranial and extracranial arteries were found plaque and stenosis, control group found that 18 cases of extracranial artery plaque and stenosis. Two groups of patients underwent conventional aspirin antiplatelet aggregation with statins lipid-lowering drugs. Observe the discharge effect of two groups of patients and follow-up of stroke occurred after 6 months. Results Six months later, one patient in the experimental group had a stroke, and eight patients in the control group had a stroke. Conclusions The combined use of carotid ultrasonography and TCD in high-risk stroke patients can evaluate the details of intracranial and extracranial arteries more accurately and comprehensively, provide more objective evidence for clinical choice of treatment, improve the therapeutic effect and reduce the risk of stroke.