本文選題：頸動脈狹窄 + 支架��； 參考：《中國全科醫(yī)學》2017年14期

【摘要】：目的觀察頸動脈狹窄支架成形術(shù)(CAS)實施前后患者定量腦電圖(QEEG)功率譜的變化,探討其在CAS實施后腦功能改善程度的評估價值。方法選取2014年1月—2015年10月濱州醫(yī)學院附屬醫(yī)院實施CAS的頸動脈狹窄患者36例,均于CAS實施前、后進行腦電圖(EEG)檢查。記錄EEG檢查結(jié)果,測量雙側(cè)前額區(qū)(FP_1、FP_2)、中央?yún)^(qū)(C_3、C_4)、枕區(qū)(O_1、O_2)、顳區(qū)(T_3、T_4)各頻段(δ㧏θ)/(α㧏β)的相對功率比值(DTABR)。結(jié)果 CAS實施前,EEG檢查結(jié)果正常9例,輕度異常15例,中度異常10例,重度異常2例。CAS實施后,EEG檢查結(jié)果正常12例,輕度異常17例,中度異常6例,重度異常1例。CAS實施前、后EEG檢查結(jié)果比較,差異無統(tǒng)計學意義(Z=-1.882,P=0.060)。CAS實施前、后雙側(cè)枕區(qū)(O_1、O_2)DTABR比較,差異無統(tǒng)計學意義(P0.05);CAS實施后雙側(cè)前額區(qū)(FP_1、FP_2)、中央?yún)^(qū)(C_3、C_4)、顳區(qū)(T_3、T_4)DTABR均低于CAS實施前(P0.05)。結(jié)論 CAS實施前、后QEEG在前頭部有明顯變化,可能與頸動脈在頭部血流分布特點有關(guān)。QEEG可作為評價重度頸動脈狹窄患者CAS實施前、后腦功能改善的有效參考指標之一。
[Abstract]:Objective to observe the changes of QEEGG power spectrum in patients with carotid stenosis before and after CASs, and to evaluate the value of QEGG in evaluating the degree of improvement of brain function after CAS. Methods from January 2014 to October 2015, 36 patients with carotid artery stenosis who were treated with CAS in affiliated Hospital of Binzhou Medical College were examined by electroencephalogram (EEG) before and after the implementation of CAS. The results of EEG examination were recorded, and the relative power ratio (DTABRR) of each frequency band (未? 胃 P ~ r (偽? 尾) was measured in the bilateral prefrontal region, in the central region, in the occipital area, in the O _ 1 / O _ 2 and in the temporal region _ T _ 3 / T _ 4. Results the results of CAS were normal in 9 cases, mild abnormality in 15 cases, moderate abnormality in 10 cases, severe abnormality in 2 cases. The results of CAS were normal in 12 cases, mild abnormal in 17 cases, moderate abnormal in 6 cases, severe abnormal in 1 case. After EEG, there was no significant difference before the implementation of Z-1.882P, and before the implementation of CAS. The difference was not statistically significant (P 0.05). The difference was not statistically significant in the bilateral prefrontal area (P0.05), the central region (C _ 3C _ (4), and the temporal region (T _ (3) _ (T _ 3) _ T _ (4DTAR) were lower than that before CAS implementation. Conclusion before and after the implementation of CAS, QEEG changes obviously in the anterior head, which may be related to the blood flow distribution of the carotid artery in the head. QEEG may be an effective index for evaluating the improvement of brain function in patients with severe carotid artery stenosis before and after the implementation of CAS.
【作者單位】： 濱州醫(yī)學院附屬醫(yī)院神經(jīng)內(nèi)科腦電圖室;濱州醫(yī)學院附屬醫(yī)院神經(jīng)內(nèi)科;濱州醫(yī)學院附屬醫(yī)院血管介入科;
【分類號】：R651.12

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本文編號：1939048