本文選題：缺血性卒中 + 側(cè)支循環(huán)��； 參考：《河北醫(yī)科大學(xué)》2017年碩士論文

【摘要】：缺血性卒中的發(fā)病率逐年上升。有研究表明,腦側(cè)支循環(huán)的程度可能延遲甚至阻止梗死進(jìn)展。良好的側(cè)支循環(huán)可使患者有更好的臨床和功能結(jié)局,增加血管再通率,降低梗死后出血性轉(zhuǎn)化的風(fēng)險,并可能延長血管內(nèi)治療的時間窗。這些結(jié)果的基本原理是側(cè)支循環(huán)在實現(xiàn)血管再通之前保持缺血半暗帶的血液供應(yīng),減小梗死核心區(qū)的范圍從而可能有更好的臨床結(jié)局。近年來,影像學(xué)技術(shù)不斷發(fā)展,能更準(zhǔn)確地對側(cè)支循環(huán)進(jìn)行評估。了解側(cè)支循環(huán)的程度有助于合理選擇缺血性卒中的治療,并提高對臨床結(jié)局預(yù)測的準(zhǔn)確性。側(cè)支循環(huán)的形成與很多影響因素有關(guān),這些影響因素也決定著“側(cè)支治療”的方法和效果,“側(cè)支治療”也成為缺血性卒中治療的新方向。
[Abstract]:The incidence of ischemic stroke is increasing year by year. Studies have shown that the degree of collateral circulation may delay or even prevent the progression of infarction. Good collateral circulation can make patients have better clinical and functional outcomes, increase the rate of vascular recanalization, reduce the risk of hemorrhagic transformation after infarction, and may prolong the time window of intravascular therapy. The basic principle of these results is that the collateral circulation maintains the blood supply of the ischemic penumbra before the vascular recanalization reduces the size of the infarct core and may have a better clinical outcome. In recent years, imaging techniques have been developed to more accurately assess collateral circulation. Understanding the degree of collateral circulation is helpful to select the treatment of ischemic stroke and improve the accuracy of clinical outcome prediction. The formation of collateral circulation is related to many influencing factors, which also determine the method and effect of lateral branch therapy, and "lateral branch therapy" has become a new direction in the treatment of ischemic stroke.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R743.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前4條

1 王富鑫;李龍宣;;腦側(cè)支循環(huán)與缺血性腦卒中[J];國際神經(jīng)病學(xué)神經(jīng)外科學(xué)雜志;2015年01期

2 劉凌云;湯永紅;;丁苯酞對急性腦梗死患者療效及VEGF、BDNF、bFGF水平的影響[J];國際神經(jīng)病學(xué)神經(jīng)外科學(xué)雜志;2014年05期

3 姚德斌;萬慧;;動脈粥樣硬化性腦梗死與側(cè)支循環(huán)研究進(jìn)展[J];江西醫(yī)藥;2014年09期

4 屈志煒;蘇丹;張麗英;吳俊芳;巫錦娣;王曉巖;謝永立;;凱力康對大鼠局灶性腦缺血的實驗研究[J];中國處方藥;2005年11期

，

本文編號：1954408