【摘要】：目的探討腦電圖慢波化比率〔(θ+δ)/(α+β)值,DTABR〕、磁共振動(dòng)脈自旋標(biāo)記成像(ASL)檢測(cè)相對(duì)腦血流量(r CBF)對(duì)急性腦梗死預(yù)后的評(píng)估價(jià)值。方法 46例發(fā)病7 d內(nèi)的急性腦梗死患者,記錄入院時(shí)美國(guó)國(guó)立衛(wèi)生研究院卒中量表(NIHSS)及洛桑卒中預(yù)后評(píng)分(ASTRAL),腦電監(jiān)測(cè)DTABR,ASL測(cè)量梗死區(qū)即感興趣區(qū)(ROI)的CBF-ROI及對(duì)側(cè)鏡像區(qū)(ROM)的CBF-ROM,計(jì)算CBF-ROI/CBF-ROM得到相對(duì)腦血流量(r CBF),隨訪發(fā)病28 d的Barthel指數(shù)(BI),分析預(yù)后與上述指標(biāo)的關(guān)系,探討預(yù)測(cè)腦梗死預(yù)后的因素。結(jié)果 46例患者中BI60分35例,≤60分11例。預(yù)后不良組的女性比例較高,梗死體積、入院NIHSS評(píng)分、ASTRLA評(píng)分、DTABR患/健側(cè)增加,CBF、r CBF值減少。Barthel指數(shù)與入院NIHSS評(píng)分、ASTRAL評(píng)分、梗死體積、DTABR患/健側(cè)均呈負(fù)相關(guān)(r=-0.862,P=0.000;r=-0.772,P=0.000;r=-0.520,P=0.000;r=-0.414,P=0.004),與CBF-ROI、r CBF呈正相關(guān)(r=0.331,P=0.025;r=0.538,P=0.000)。DTABR患/健側(cè)與r CBF呈負(fù)相關(guān)(r=-0.302,P=0.044)。入院NIHSS評(píng)分、DTABR患/健側(cè)是預(yù)測(cè)腦梗死預(yù)后的危險(xiǎn)因素,NIHSS評(píng)分、DTABR患/健側(cè)越高預(yù)后越差。入院NIHSS評(píng)分8分,DTABR患/健側(cè)1.159是預(yù)測(cè)不良預(yù)后敏感度及特異性均較好的界值。結(jié)論入院NIHSS評(píng)分聯(lián)合定量腦電圖DTABR有助于急性腦梗死的預(yù)后評(píng)估。
[Abstract]:Objective to evaluate the value of slow wave ratio (胃 未) / (偽 尾) of electroencephalogram (EEG) in the evaluation of prognosis of acute cerebral infarction (ACI) by, DTABR), spin-labeled magnetic resonance imaging (ASL) and relative cerebral blood flow (r CBF). Methods 46 patients with acute cerebral infarction within 7 days of onset were recorded. The stroke scale (NIHSS) and Lobsang stroke prognosis score (ASTRAL),) were recorded at admission. DTABR, was monitored by electroencephalogram (EEG). CBF-ROI of (ROI) in infarcted area of immediate interest and CBF-ROM, calculation of (ROM) in contralateral mirroring area by ASL the Barthel index (BI), relative to cerebral blood flow (r CBF),) was obtained by (r CBF), follow-up for 28 days. To explore the prognostic factors of cerebral infarction by analyzing the relationship between prognosis and the above indexes. Results there were 35 cases with BI60 and 11 cases with 鈮，

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