经颅多普勒超声评价慢性大脑中动脉闭塞患者的脑血管储备功能(2)
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为观察不同临床表现其血流动力学是否存在差别，本研究同时将慢性MCA闭塞患者分为小卒中组、TIA组和高危组，结果显示患侧MCA平均血流速度和搏动指数组间比较没有统计学差异(P>0.05)，但是小卒中组、TIA组和高危组患侧BHI组间比较，小卒中组显著低于其他两组(P<0.05)，提示小卒中组的脑血流储备能力降低，但因样本量较小，尚需大样本进一步论证其准确性。
参考文献
[1] Rordorf G, KoroshetzW J,Ezzeddine M A, et a l.A pilot study of drug induced hypertension for treatment of acute stroke[J].Neurology,2001; 56:1210-1213.
[2] 高山，黄家星。经颅多普勒超声的诊断技术与临床应用[M].北京 中国协和医科大学出版社。2004:80-81.
[3] 邢英琦，韩 珂，白竹等。经颅多普勒超声脑血流次序改变对大脑中动脉慢性闭塞的诊断价值[J]. 中国老年学杂志，2008, 10(28):1906-1909.
[4] Sloan M A, Alexandrov AV, Tegeler CH , et al. Assesment: transcranial Doppler ultrasonography: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurolog y. Neurology , 2004, 62(9) : 1468-1481.
[5] Coutts SB, Barber PA, Demchuk AM , et a l.Mild neurologicalsymptoms despite middle cerebral artery occlusion[J].Stroke, 2004; 35: 469-471.
[6] 于永发, 于佳梅, 董国淑. 脑血管病脑循环储备力临床评价[J].国外医学脑血管疾病分册, 1998, 6:80-84.
[7] Klijn CJ, Kappelle LJ , Tulleken CA, et al. Symptomatic carotidartery occlusion. Areappraisal of hemodynamic factors[J]. Stroke,1997, 28(10) : 2084-2093.
[8] Silvestrini M，Troisi E，Cupini LM，et a1.Transcranial Doppler as sessment of cerebrovascular reactivity in symptomatic and asymptomatie severe carotid stenosis[J].Stroke，1996，27：1970.
[9] Tanaka M,Shimosegawa E,Kajimoto K,et al. Chronic middle cerebral artery occlusion ahemodynamic and metabolic study with positron emission tomography [J]. AJNR, 2008, 29: 1841.
[10] Su IC, Yang CC, Wang WH, et a.l Acute cerebral ischemia following intraventricularhemorrhage in moyamoya disease: early perfusion computed tomography finding [J]s.J Neurosurg, 2008, 109: 1049.
为观察不同临床表现其血流动力学是否存在差别，本研究同时将慢性MCA闭塞患者分为小卒中组、TIA组和高危组，结果显示患侧MCA平均血流速度和搏动指数组间比较没有统计学差异(P>0.05)，但是小卒中组、TIA组和高危组患侧BHI组间比较，小卒中组显著低于其他两组(P<0.05)，提示小卒中组的脑血流储备能力降低，但因样本量较小，尚需大样本进一步论证其准确性。
参考文献
[1] Rordorf G, KoroshetzW J,Ezzeddine M A, et a l.A pilot study of drug induced hypertension for treatment of acute stroke[J].Neurology,2001; 56:1210-1213.
[2] 高山，黄家星。经颅多普勒超声的诊断技术与临床应用[M].北京 中国协和医科大学出版社。2004:80-81.
[3] 邢英琦，韩 珂，白竹等。经颅多普勒超声脑血流次序改变对大脑中动脉慢性闭塞的诊断价值[J]. 中国老年学杂志，2008, 10(28):1906-1909.
[4] Sloan M A, Alexandrov AV, Tegeler CH , et al. Assesment: transcranial Doppler ultrasonography: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurolog y. Neurology , 2004, 62(9) : 1468-1481.
[5] Coutts SB, Barber PA, Demchuk AM , et a l.Mild neurologicalsymptoms despite middle cerebral artery occlusion[J].Stroke, 2004; 35: 469-471.
[6] 于永发, 于佳梅, 董国淑. 脑血管病脑循环储备力临床评价[J].国外医学脑血管疾病分册, 1998, 6:80-84.
[7] Klijn CJ, Kappelle LJ , Tulleken CA, et al. Symptomatic carotidartery occlusion. Areappraisal of hemodynamic factors[J]. Stroke,1997, 28(10) : 2084-2093.
[8] Silvestrini M，Troisi E，Cupini LM，et a1.Transcranial Doppler as sessment of cerebrovascular reactivity in symptomatic and asymptomatie severe carotid stenosis[J].Stroke，1996，27：1970.
[9] Tanaka M,Shimosegawa E,Kajimoto K,et al. Chronic middle cerebral artery occlusion ahemodynamic and metabolic study with positron emission tomography [J]. AJNR, 2008, 29: 1841.
[10] Su IC, Yang CC, Wang WH, et a.l Acute cerebral ischemia following intraventricularhemorrhage in moyamoya disease: early perfusion computed tomography finding [J]s.J Neurosurg, 2008, 109: 1049.
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